Active NPIIndividual provider

Rebecca Brigham, NP

Nurse Practitioner, Family in Montclair, New Jersey

NPI Number1164217519
Practice location
66 Park St, Montclair, NJ 07042-5908
Fax
973-577-3011
Last updated
June 5, 2025

Rebecca Brigham is a Nurse Practitioner, Family based in Montclair, NJ. Rebecca Brigham practices in Montclair, NJ and has the professional credentials of NP. The NPI Number for Rebecca Brigham is 1164217519 and holds a License No. 356054 (NY). The current practice location address for Rebecca Brigham is 66 Park St, Montclair, NJ 07042-5908 and can be reached out via phone at 973-577-3010 and via fax at 973-577-3011.

Provider Profile Details

NPI Number
1164217519
Provider Name
Rebecca Brigham
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
66 Park St, Montclair, NJ 07042-5908
Phone Number
973-577-3010
Fax Number
973-577-3011
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2025
Last Update Date
June 5, 2025
Certification Date
June 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Park St
Montclair, NJ 07042-5908
Zip
07042-5908
Phone Number
973-577-3010
Fax Number
973-577-3011
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
66 Park St
Montclair, NJ 07042-5908
City
Montclair
State
NJ
Zip
07042-5908
Phone Number
973-577-3010
Fax Number
973-577-3011

License Information

License Number (1)
356054
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NJ15240400
License State (2)
NJ
Taxonomy (2)
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 Rebecca Brigham, NP?

The NPI number of Rebecca Brigham, NP is 1164217519. It was assigned on April 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Rebecca Brigham, NP?

Rebecca Brigham, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 356054.

Where does Rebecca Brigham, NP practice?

The practice location is 66 Park St, Montclair, NJ 07042-5908. The office can be reached at 973-577-3010 (phone) or 973-577-3011 (fax).

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 1164217519 directly on the NPPES registry website.

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