Alexandra Karin Bevacqua

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15041900 Issued in NJ

Practice address

1959 Rte 34 Ste 202
Wall Township, NJ 07719-9790

Phone

(732) 943-1811

NPI assigned

Nov 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Offices of New Jersey Shore LLCGroup PAC ID 8921322520, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Offices of New Jersey Shore, LLC

  • Physical Medicine & Rehabilitation Physician
  • Wall Township, NJ
  • NPI 1134526148
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1104787639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ROBINSON PL",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024437",
            "telephone_number": "732-865-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 RTE 34 STE 202",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199790",
            "telephone_number": "732-943-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVACQUA",
        "first_name": "ALEXANDRA",
        "middle_name": "KARIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15041900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bautista, OT
• Bayada Home Health Care, Inc.
• Clifford R Beach III, RPH
• Vladimir Berkovich, MD
• Dawn Berman, APN
• Jagdish S. Bharara, MD
• Judith Andrews Bittner, RN BSN CNOR RNFA
• Jeana Therese Blakeslee
• Diane Bleiman
• Judith Ann Bosco

• Family Nurse Practitioner in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.