Individual provider Active NPI

Brianna D'Alessio

  • Counselor
  • Lake Hiawatha, NJ
National Provider Identifier
1245815349
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
44SL06639500 Issued in NJ
Practice address
122 Iroquois Ave
Lake Hiawatha, NJ 07034-1705
Phone
(862) 763-1786
NPI assigned
Mar 10, 2021
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 44SL06639500 NJ Primary

Addresses

Primary practice location

122 Iroquois Ave
Lake Hiawatha, NJ 07034-1705

Mailing address

122 Iroquois Ave
Lake Hiawatha, NJ 07034-1705
Phone (862) 763-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06639500NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elderology, LLC CurrentSince Jun 24, 2024 Accepting new patients

Locations

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1245815349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 IROQUOIS AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070341705",
            "telephone_number": "862-763-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 IROQUOIS AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070341705",
            "telephone_number": "862-763-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALESSIO",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL06639500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hiawatha, NJ

Sources for this page

Verify at the official NPI Registry.