Individual provider Active NPI

Minerva Refe Brizuela, APN

  • Adult Health Nurse Practitioner
  • Kearny, NJ
National Provider Identifier
1366985178
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN00511400 Issued in NJ
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

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26NN00511400NJMDAdult 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.

Verify at the official NPI Registry.