Alicia L. Realmuto, N.P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00035100 Issued in NJ

Practice address

3350 Rte 138 Ste 128
Wall Township, NJ 07719-9694

Phone

(904) 862-7200

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Diagnostic & Clinical Cardiology, PA

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1760481493
  NPD (past)
• Ekg Interpretation Group

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1447261714
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1740280395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RTE 138 STE 128",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199694",
            "telephone_number": "732-280-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RTE 138 STE 128",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199694",
            "telephone_number": "904-862-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALMUTO",
        "first_name": "ALICIA",
        "middle_name": "L.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00035100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Quinn
• Said Ramadan, APN-C
• Cassandra Rampino, LCSW
• Ravine Eye Center Inc
• Shelli Lynn Ravine, O.D.
• Ma Jeanette Andres Reyes, P.T.
• Gaetano A. Ricciardone, D.C.
• Doreen Ann Riegal, MS
• Ethan Rivera, RBT
• Loyda I Rivera, MD, FAAP, FACC

• Acute Care Nurse Practitioner in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.