David D'Alliessi

Individual provider Active NPI Home Health Agency · Waretown, NJ

NPI 1497311443 · NPPES record last updated May 15, 2019

Key facts

NPI
1497311443
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
License
HP0290600 (NJ)
Practice address
1 Memorial Dr Ste 102
Waretown, NJ 08758-1762
Phone
(609) 607-1900
Fax
(609) 607-0682
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HP0290600NJMDHome Health Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0290600 NJ Yes

Addresses

Primary practice location

1 Memorial Dr Ste 102
Waretown, NJ 08758-1762

Mailing address

1 Memorial Dr Ste 102
Waretown, NJ 08758-1762
Phone (609) 607-1900

Other providers in Waretown, NJ

All providers in Waretown, NJ · Home Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.