Active NPIIndividual provider

Al-Jathiyah Burgess

Student in an Organized Health Care Education/Training Program in Nutley, New Jersey

NPI Number1508744764
Practice location
340 Kingsland St, Nutley, NJ 07110-1150
Fax
—
Last updated
August 25, 2025

Al-Jathiyah Burgess is a Student in an Organized Health Care Education/Training Program based in Nutley, NJ. Al-Jathiyah Burgess practices in Nutley, NJ. The NPI Number for Al-Jathiyah Burgess is 1508744764. The current practice location address for Al-Jathiyah Burgess is 340 Kingsland St, Nutley, NJ 07110-1150 and can be reached out via phone at 973-761-9306.

Provider Profile Details

NPI Number
1508744764
Provider Name
Al-Jathiyah Burgess
Provider Entity Type
Individual
Gender
Female
Address
340 Kingsland St, Nutley, NJ 07110-1150
Phone Number
973-761-9306
Sole Proprietor
No
Provider Enumeration Date
August 25, 2025
Last Update Date
August 25, 2025
Certification Date
August 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 Kingsland St
Nutley, NJ 07110-1150
City
Nutley
Zip
07110-1150
Phone Number
973-761-9306
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
340 Kingsland St
Nutley, NJ 07110-1150
City
Nutley
State
NJ
Zip
07110-1150
Phone Number
973-761-9306

License Information

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 Al-Jathiyah Burgess?

The NPI number of Al-Jathiyah Burgess is 1508744764. It was assigned on August 25, 2025 and is currently active in the NPPES registry.

What is the specialty of Al-Jathiyah Burgess?

Al-Jathiyah Burgess is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Al-Jathiyah Burgess practice?

The practice location is 340 Kingsland St, Nutley, NJ 07110-1150. The office can be reached at 973-761-9306 (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 1508744764 directly on the NPPES registry website.

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