ALYSSA WALL (NPI# 1588110746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588110746 |
Entity Type | Individual |
Full Name | ALYSSA WALL |
Practice Address |
716 Broad St 2a Clifton NJ 07013-1645 |
Practice Telephone | 9732213122 |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
26NJ00653400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235583279 | Alyssa Eileen Wall | Pediatrics | 55 N Gilbert St Ste 2101, Tinton Falls, NJ 07701-4957 | 2016-04-15 |
1972131878 | Alyssa Wall | Registered Nurse | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2020-03-28 |
Street Address |
716 BROAD ST 2A |
City | CLIFTON |
State | NJ |
Zip Code | 07013-1645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326093204 | Edward F Kugler | Obstetrics & Gynecology | 716 Broad St, Clifton, NJ 07013-1645 | 2006-05-22 |
1235655077 | Pediatrics First LLC | General Practice | 716 Broad St, Clifton, NJ 07013-1645 | 2017-08-14 |
1396285375 | Kate Elizabeth Keller | Advanced Practice Midwife | 716 Broad St, Clifton, NJ 07013-1645 | 2017-02-24 |
1164960480 | Jessica Hayes | Advanced Practice Midwife | 716 Broad St, Clifton, NJ 07013-1645 | 2017-02-07 |
1760849426 | Jennifer C. Gobencion | Advanced Practice Midwife | 716 Broad St, Clifton, NJ 07013-1645 | 2016-01-26 |
1053787036 | Jennifer Enrique | Nurse Practitioner | 716 Broad St, Suite 2a, Clifton, NJ 07013-1645 | 2015-08-13 |
1154701167 | Victor Mendez | Dietitian, Registered | 716 Broad St, 2nd Fl, Suite 2-e, Clifton, NJ 07013-1645 | 2015-06-04 |
1922485556 | Nj Premier Heart LLC | Internal Medicine | 716 Broad St, Suite 2d, Clifton, NJ 07013-1645 | 2015-05-04 |
1386021913 | Nj Premier Medical Care | Internal Medicine | 716 Broad St, Clifton, NJ 07013-1645 | 2015-05-04 |
1801287198 | Nj Institute of Minimal Invasive Surgery LLC | Obstetrics & Gynecology | 716 Broad St, Clifton, NJ 07013-1645 | 2015-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
Find all providers in zip 07013 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891316725 | Lynda Nolan | Nurse Practitioner | 24 Dogwood Dr, Whitehouse Station, NJ 08889-3374 | 2020-05-01 |
1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
1326358862 | Edith T Meier | Nurse Practitioner | 80 Eisenhower Drive, Suite 200, Paramus, NJ 07652 | 2010-10-18 |
1114231578 | Susan Righter Grimes | Nurse Practitioner | 7g Heritage Dr, Chatham, NJ 07928-2966 | 2010-07-27 |
1285897215 | Melissa E Sorey | Nurse Practitioner | 1805 Route 206 # 111213, Southampton, NJ 08088-3558 | 2008-07-09 |
1033302757 | Deborah Lee Saltmarsh | Nurse Practitioner | 224 Ocean St, Beach Haven, NJ 08008-1628 | 2007-08-27 |
1801096607 | Jill Elizabeth Chisholm | Nurse Practitioner | 75 Claremont Rd Ste 308, Bernardsville, NJ 07924-2271 | 2007-07-19 |
1982629432 | Terri Fuller | Nurse Practitioner | 694 Rt 15 S. Plaza, Suite 105, Lake Hopatcong, NJ 07849 | 2006-07-13 |
1326013434 | Mary Yori | Nurse Practitioner | 399 Liberty Ave, Jersey City, NJ 07307-4101 | 2006-02-22 |
1023554003 | Monique Erika Schneider | Nurse Practitioner | 222 Oak Ave, Third Floor, Toms River, NJ 08753-3348 | 2017-01-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.