Individual provider Active NPI

Rebecca Brigham, NP

  • Family Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1164217519
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15240400 Issued in NJ
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

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26NJ15240400NJMDFamily Nurse Practitioner
356054NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cadoo Medical PC CurrentSince Jun 8, 2025 Accepting new patients
Cape Cod Primary Care LLC CurrentSince Apr 1, 2025 Accepting new patients
Advanced Audiology Associates, Inc. PastSince Apr 1, 2025 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.

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.

Verify at the official NPI Registry.