Individual provider Active NPI

Edwlania Alane Nouh, NP-C

  • Family Nurse Practitioner
  • Little Falls, NJ
National Provider Identifier
1396280475
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00695200 Issued in NJ
Practice address
70 E Main St Ste 1
Little Falls, NJ 07424-1617
Phone
(973) 237-0700
Fax
(973) 237-0777
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00695200 NJ Primary

Addresses

Primary practice location

70 E Main St Ste 1
Little Falls, NJ 07424-1617

Mailing address

70 E Main St Ste 1
Little Falls, NJ 07424-1617
Phone (973) 237-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170504000497 NJ Practitioner - Nurse Practitioner 7719264514 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Transformation Health and Wellness LLC Family Current Accepting new patients
Nancy Lentine D.O., PA CurrentSince Mar 6, 2017 Accepting new patients

Locations

70 E Main St
Ste 1
Little Falls, NJ 07424
Phone (973) 237-0700

Interoperability endpoints

  • Direct secure messaging: edwlania.nouh.1@25660.direct.athenahealth.com

Organizations & group practices 2

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1396280475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E MAIN ST STE 1",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241617",
            "telephone_number": "973-237-0700",
            "fax_number": "973-237-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E MAIN ST STE 1",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241617",
            "telephone_number": "973-237-0700",
            "fax_number": "973-237-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUH",
        "first_name": "EDWLANIA",
        "middle_name": "ALANE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00695200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.