Active NPIIndividual provider

Mrs. Alexandra K Bevacqua

Nurse Practitioner, Family in Wall Township, New Jersey

NPI Number1104787639
Practice location
1959 Rte 34 Ste 202, Wall Township, NJ 07719-9790
Fax
—
Last updated
November 24, 2025

Alexandra Karin Bevacqua is a Nurse Practitioner, Family based in Wall Township, NJ. Alexandra Karin Bevacqua practices in Wall Township, NJ. The NPI Number for Alexandra Karin Bevacqua is 1104787639 and holds a License No. 26NJ15041900 (NJ). The current practice location address for Alexandra Karin Bevacqua is 1959 Rte 34 Ste 202, Wall Township, NJ 07719-9790 and can be reached out via phone at 732-943-1811.

Provider Profile Details

NPI Number
1104787639
Provider Name
Alexandra Karin Bevacqua
Provider Entity Type
Individual
Gender
Female
Address
1959 Rte 34 Ste 202, Wall Township, NJ 07719-9790
Phone Number
732-943-1811
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 24, 2025
Last Update Date
November 24, 2025
Certification Date
November 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1959 Rte 34 Ste 202
Wall Township, NJ 07719-9790
Zip
07719-9790
Phone Number
732-943-1811
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
109 Robinson Pl
Shrewsbury, NJ 07702-4437
City
Shrewsbury
State
NJ
Zip
07702-4437
Phone Number
732-865-6314

License Information

License Number
26NJ15041900
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Alexandra K Bevacqua?

The NPI number of Mrs. Alexandra K Bevacqua is 1104787639. It was assigned on November 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Mrs. Alexandra K Bevacqua?

Mrs. Alexandra K Bevacqua is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15041900.

Where does Mrs. Alexandra K Bevacqua practice?

The practice location is 1959 Rte 34 Ste 202, Wall Township, NJ 07719-9790. The office can be reached at 732-943-1811 (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 1104787639 directly on the NPPES registry website.

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