Active NPI
Rebecca Brigham, NP
- Family Nurse Practitioner
- Montclair, NJ
National Provider Identifier
1164217519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15240400
- Practice address
- 66 Park St
Montclair, NJ 07042-5908 - Phone
- (973) 577-3010
- Fax
- (973) 577-3011
- NPI assigned
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 356054 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15240400 | NJ | Primary |
Addresses
Primary practice location
66 Park St
Montclair, NJ 07042-5908
Mailing address
66 Park St
Montclair, NJ 07042-5908
Phone (973) 577-3010
Other practice location 1
714 Main St
Yarmouth Port, MA 02675-2000
Phone (508) 362-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15240400 | NJ | MD | Family Nurse Practitioner |
| 356054 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cadoo Medical PC | Current | Accepting new patients | |
| Cape Cod Primary Care LLC | Current | Accepting new patients | |
| Advanced Audiology Associates, Inc. | Past | Accepting new patients |
Locations
714 Main St
Yarmouth Port, MA 02675
Phone (508) 362-1600
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Montclair, NJ
- NPI 1528626488
-
- Internal Medicine Physician
- Osterville, MA
- NPI 1912412131
-
- Audiologist
- Mashpee, MA
- NPI 1033265582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1164217519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 PARK ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070425908",
"telephone_number": "973-577-3010",
"fax_number": "973-577-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 PARK ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070425908",
"telephone_number": "973-577-3010",
"fax_number": "973-577-3011"
}
],
"practiceLocations": [
{
"address_1": "714 Main St",
"address_purpose": "LOCATION",
"city": "Yarmouth Port",
"state": "MA",
"postal_code": "026752000",
"country_code": "US",
"telephone_number": "508-362-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIGHAM",
"first_name": "REBECCA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "356054",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15240400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.