Alyssa Dumatol

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ14995200 Issued in NJ

Practice address

1000 Galloping Hill Rd Ste 103
Union, NJ 07083-7989

Phone

(908) 688-1550

NPI assigned

Aug 10, 2024

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Codella Family Practice

  • Family Medicine Physician
  • Union, NJ
  • NPI 1871632075
  NPD

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1881425908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N PROSPECT AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211247",
            "telephone_number": "201-281-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD STE 103",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "908-688-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMATOL",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ14995200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Michelle Downing, FNP
• Dr Jorge Rincon Chiropractic Center LLC
• Drug Fair Group, Inc.
• Grace Dube, BS
• Jaime Lynn Duffy
• Cathia Dumay
• Kaitlyn M Dunn, CCC-SLP
• Duo Dental Group of Union LLC
• Melissa Duval, LPC
• Dynamic Medical Imaging-Dmi, Inc

• Primary Care Nurse Practitioner in Union, NJ
• Providers in Union, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.