Individual provider Active NPI

Alyssa Marie Dombrosky, CRNP-BC

  • Primary Care Nurse Practitioner
  • Hoboken, NJ
National Provider Identifier
1306559331
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ15167200 Issued in NJ
Practice address
59 Newark St
Hoboken, NJ 07030-4545
Phone
(201) 792-1600
Fax
(551) 310-6727
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP026470 PA
Primary Care Nurse Practitioner 363LP2300X 26NJ15167200 NJ Primary

Addresses

Primary practice location

59 Newark St
Hoboken, NJ 07030-4545

Mailing address

379 Campus Dr
FL 4 Credentialing
Somerset, NJ 08873
Phone (732) 729-7159

Other practice location 1

2021 Chestnut St Apt 907
Philadelphia, PA 19103-3380
Phone (724) 771-2719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230301001323 PA Practitioner - Nurse Practitioner 5799158366 Reassigns benefits to 1 organization
I20241205002263 NJ Practitioner - Nurse Practitioner 5799158366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

59 Newark St
Hoboken, NJ 07030-4545
Phone (201) 984-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15167200NJMDPrimary Care Nurse Practitioner
SP026470PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services CurrentSince Nov 1, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 20, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Mar 20, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Barnabas Health Medical Group, PC Past Accepting new patients

Locations

59 Newark St
Hoboken, NJ 07030
Phone (201) 656-4800

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

379 Campus Dr
Somerset, NJ 08873
Phone (732) 507-6545

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 5

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1306559331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR",
            "address_2": "FL 4 CREDENTIALING",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-729-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 NEWARK ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304545",
            "telephone_number": "201-792-1600",
            "fax_number": "551-310-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Chestnut St Apt 907",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191033380",
            "country_code": "US",
            "telephone_number": "724-771-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROSKY",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP026470",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ15167200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.