ALYSSA WALL


Address: 716 Broad St, 2a, Clifton, NJ 07013-1645
Phone: 9732213122

ALYSSA WALL (NPI# 1588110746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers ALYSSA WALL

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

Office Location

Street Address 716 BROAD ST
2A
City CLIFTON
State NJ
Zip Code 07013-1645

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City CLIFTON
Zip Code 07013

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Dataset Information

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.

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