Al-Jathiyah Burgess
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Nutley, NJ
NPI 1508744764 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1508744764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 340 Kingsland St
Nutley, NJ 07110-1150 - Phone
- (973) 761-9306
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
340 Kingsland St
Nutley, NJ 07110-1150
Mailing address
340 Kingsland St
Nutley, NJ 07110-1150
Phone (973) 761-9306
Other providers in Nutley, NJ
- Alex Brown
- Alexandra Brown
- Jennifer A Brown
- Maria Bruggemann
- Victoria Bukey
- Burke and Unger Lifeworks Counseling LLC
- Ingrid Burke
- Karen Ann Butler
- Gaetano Buttitta
- Anthony Califano
All providers in Nutley, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.