Individual provider Active NPI

Alejandra Irina Brito

  • Psychiatric/Mental Health Nurse Practitioner
  • Bogota, NJ
National Provider Identifier
1629839980
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405582 Issued in NY
Practice address
228 Chestnut Ave
Bogota, NJ 07603-1734
Phone
(917) 656-7388
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405582 NY Primary

Addresses

Primary practice location

228 Chestnut Ave
Bogota, NJ 07603-1734

Mailing address

228 Chestnut Ave
Bogota, NJ 07603-1734
Phone (917) 656-7388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
405582NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apm Nurse Practitioner in Psychiatry Psychiatric/Mental Health CurrentSince Feb 12, 2025 Accepting new patients

Locations

75 S Broadway
Ste 47584
White Plains, NY 10601
Phone (631) 388-7080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1629839980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CHESTNUT AVE",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031734",
            "telephone_number": "917-656-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 CHESTNUT AVE",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031734",
            "telephone_number": "917-656-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITO",
        "first_name": "ALEJANDRA",
        "middle_name": "IRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogota, NJ

Sources for this page

Verify at the official NPI Registry.