Taliah Haleema Alicock, MED

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

651 South Ave
Piscataway, NJ 08854-1460

Phone

(908) 943-1787

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1063001030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 SOUTH AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088541460",
            "telephone_number": "908-943-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SOUTH AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088541460",
            "telephone_number": "908-943-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICOCK",
        "first_name": "TALIAH",
        "middle_name": "HALEEMA",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02041984",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Alderman
• Tyler Alexander
• Debra Louise Alfano
• Reem Ibrahim Alhussain, DDS
• Umer Ali, MD
• Anoop Alla
• Linda Jane Allen
• Allergy Treatment Center of New Jersey
• Gil Almonte
• Gabriel Alonso, MD

• In Home Supportive Care Agency in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.