Ms. Serah A Douglas
Nurse Practitioner, Family in Old Bridge, New Jersey
1053216440- Practice location
- 59 Alpha Ave, Old Bridge, NJ 08857-2226
- Phone
- 551-271-9150
- Fax
- —
- Last updated
- November 2, 2026
Serah A Douglas is a Nurse Practitioner, Family based in Old Bridge, NJ. Serah A Douglas practices in Old Bridge, NJ. The NPI Number for Serah A Douglas is 1053216440 and holds a License No. 26NJ15685500 (NJ). The current practice location address for Serah A Douglas is 59 Alpha Ave, Old Bridge, NJ 08857-2226 and can be reached out via phone at 551-271-9150.
Provider Profile Details
- NPI Number
- 1053216440
- Provider Name
- Serah A Douglas
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 59 Alpha Ave, Old Bridge, NJ 08857-2226
- Phone Number
- 551-271-9150
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 14, 2026
- Last Update Date
- November 2, 2026
- Certification Date
- November 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 59 Alpha Ave
Old Bridge, NJ 08857-2226 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-2226
- Phone Number
- 551-271-9150
Provider Business Mailing Address Details
- Address
- 59 Alpha Ave
Old Bridge, NJ 08857-2226 - City
- Old Bridge
- State
- NJ
- Zip
- 08857-2226
- Phone Number
- 862-772-9721
License Information
- License Number
- 26NJ15685500
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Serah A Douglas?
The NPI number of Ms. Serah A Douglas is 1053216440. It was assigned on October 14, 2026 and is currently active in the NPPES registry.
What is the specialty of Ms. Serah A Douglas?
Ms. Serah A Douglas is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15685500.
Where does Ms. Serah A Douglas practice?
The practice location is 59 Alpha Ave, Old Bridge, NJ 08857-2226. The office can be reached at 551-271-9150 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053216440 directly on the NPPES registry website.