Individual provider Active NPI

Alexandra Nicole Bologno, NP

  • Family Nurse Practitioner
  • Oakhurst, NJ
National Provider Identifier
1780525915
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15552700 Issued in NJ
Practice address
1907 Highway 35
Ste 1
Oakhurst, NJ 07755
Phone
(732) 517-0060
NPI assigned
Apr 2, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15552700 NJ Primary

Addresses

Primary practice location

1907 Highway 35
Ste 1
Oakhurst, NJ 07755

Mailing address

331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688

Other practice location 1

525 Jack Martin Blvd Ste 200
Brick, NJ 08724-7737
Phone (866) 607-2308

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
I20260413001511 NJ Practitioner - Nurse Practitioner 5799250288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

525 Jack Martin Blvd
Suite 200
Brick, NJ 08724-7737
Phone (866) 607-2308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15552700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical Services Group, LLC CurrentSince Apr 6, 2026 Accepting new patients

Locations

525 Jack Martin Blvd
Ste 200
Brick, NJ 08724
Phone (732) 836-9669

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": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1780525915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BLDG 2, STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 HIGHWAY 35",
            "address_2": "STE 1",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-517-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Jack Martin Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247737",
            "country_code": "US",
            "telephone_number": "866-607-2308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLOGNO",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15552700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

Verify at the official NPI Registry.