Alexa Brown
Individual provider Active NPI Licensed Practical Nurse · South Amboy, NJ
NPI 1750161915 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1750161915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 26NP49712300 (NJ)
- Practice address
- 901 Ernston Rd
South Amboy, NJ 08879-2000 - Phone
- (732) 585-1815
- NPI assigned
- Oct 4, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NP49712300 | NJ | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26NP49712300 | NJ | Yes |
Addresses
Primary practice location
901 Ernston Rd
South Amboy, NJ 08879-2000
Mailing address
147 1/2 E 8TH Ave
Roselle, NJ 07203-2096
Other practice location 1
147 1/2 E 8th Ave
Roselle, NJ 07203-2096
Phone (908) 414-0324
Other providers in South Amboy, NJ
- Hani Batarseh
- Brenda Olivieri Benson
- Mindy Bernstein
- Leo Beyda
- Briarwood Care & Rehabilitation Center
- Jasmine Brown
- Colleen Burns
- Bytrix Tech Inc
- Jennifer Caswell Adamick
- Chour Chang
All providers in South Amboy, NJ · Licensed Practical Nurse 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 Oct 5, 2023. 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.