Individual provider Active NPI

Alisa K Dunk, AGNP-C

  • Adult Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1598525628
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG02240123 Issued in NJ
Practice address
101 Jordan Rd
Brick, NJ 08724-4548
Phone
(732) 570-5132
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 AG02240123 NJ Primary

Addresses

Primary practice location

101 Jordan Rd
Brick, NJ 08724-4548

Mailing address

101 Jordan Rd
Brick, NJ 08724-4548
Phone (732) 570-5132

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
I20241022003899 NJ Practitioner - Nurse Practitioner 3173055654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

Hospital & facility affiliations

  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG02240123NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Cardiovascular Group, P.C. CurrentSince Sep 16, 2024 Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

1364 Route 72 W
Ste 56
Manahawkin, NJ 08050

1364 Route 72 W
Ste 5
Manahawkin, NJ 08050
Phone (609) 978-0778

599 Route 37 W
Toms River, NJ 08755
Phone (732) 269-1133

550 Route 530
Ste 20A
Whiting, NJ 08759

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4

Organizations & group practices 1

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 2

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1598525628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JORDAN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087244548",
            "telephone_number": "732-570-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JORDAN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087244548",
            "telephone_number": "732-570-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNK",
        "first_name": "ALISA",
        "middle_name": "K",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "AG02240123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.