Active NPI
Minerva Refe Brizuela, APN
- Adult Health Nurse Practitioner
- Kearny, NJ
National Provider Identifier
1366985178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NN00511400
- Practice address
- 30-35 So. Hackensack Avenue
Hudson County Correctional
Kearny, NJ 07032 - Phone
- (201) 395-5600
- Fax
- (201) 395-5618
- NPI assigned
- Nov 28, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN00511400 | NJ | Primary |
Addresses
Primary practice location
30-35 So. Hackensack Avenue
Hudson County Correctional
Kearny, NJ 07032
Mailing address
814 Deluca Rd
Belleville, NJ 07109-5351
Phone (973) 450-3083
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN00511400 | NJ | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1366985178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 DELUCA RD",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071095351",
"telephone_number": "973-450-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30-35 SO. HACKENSACK AVENUE",
"address_2": "HUDSON COUNTY CORRECTIONAL",
"city": "KEARNY",
"state": "NJ",
"postal_code": "07032",
"telephone_number": "201-395-5600",
"fax_number": "201-395-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIZUELA",
"first_name": "MINERVA",
"middle_name": "REFE",
"name_prefix": "Miss",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-28",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN00511400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.