Individual provider Active NPI

Courtney Dalebroux

  • Gerontology Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1457735227
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00886800 Issued in NJ
Practice address
101 Old Short Hills Rd Ste 409
West Orange, NJ 07052-1023
Phone
(973) 322-6732
NPI assigned
Jul 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00886800 NJ Primary
Family Nurse Practitioner 363LF0000X 340332 NY

Addresses

Primary practice location

101 Old Short Hills Rd Ste 409
West Orange, NJ 07052-1023

Mailing address

800 Jackson St PH 7
Hoboken, NJ 07030-9237
Phone (201) 953-3634

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
I20200522001123 NJ Practitioner - Nurse Practitioner 7911328265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-7000

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340332NYMDFamily Nurse Practitioner
26NJ00886800NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Dec 7, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 7, 2025 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
#W4130
Livingston, NJ 07039

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333

101 Old Short Hills Rd
Ste 409
West Orange, NJ 07052
Phone (973) 322-6732

Interoperability endpoints

  • Direct secure messaging: cdalebroux260875@epicdirect.rwjbh.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1457735227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JACKSON ST PH 7",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070309237",
            "telephone_number": "201-953-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 409",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-322-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEBROUX",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00886800",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.