Active NPIIndividual providerSole proprietor

Alice Agecha

Nurse Practitioner, Psych/Mental Health in Newark, New Jersey

NPI Number1538590880
Practice location
Rutgers Behavioral Health Care, 183 South Orange Avenue, Newark, NJ 07103
Fax
973-972-7173
Last updated
August 6, 2019

Alice Agecha is a Nurse Practitioner, Psych/Mental Health based in Newark, NJ. Alice Agecha practices in Newark, NJ. The NPI Number for Alice Agecha is 1538590880 and holds a License No. 26NJ00474300 (NJ). The current practice location address for Alice Agecha is Rutgers Behavioral Health Care, 183 South Orange Avenue, Newark, NJ 07103 and can be reached out via phone at 973-972-5430 and via fax at 973-972-7173.

Provider Profile Details

NPI Number
1538590880
Provider Name
Alice Agecha
Provider Entity Type
Individual
Gender
Female
Address
Rutgers Behavioral Health Care, 183 South Orange Avenue, Newark, NJ 07103
Phone Number
973-972-5430
Fax Number
973-972-7173
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2013
Last Update Date
August 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Rutgers Behavioral Health Care
183 South Orange Avenue
Newark, NJ 07103
City
Newark
Zip
07103
Phone Number
973-972-5430
Fax Number
973-972-7173
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
Rutgers Behavioral Health Care
183 South Orange Avenue
Newark, NJ 07103
City
Newark
State
NJ
Zip
07103
Phone Number
973-972-5430
Fax Number
973-972-7173

License Information

License Number
26NJ00474300
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Alice Agecha?

The NPI number of Alice Agecha is 1538590880. It was assigned on December 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Alice Agecha?

Alice Agecha is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00474300.

Where does Alice Agecha practice?

The practice location is Rutgers Behavioral Health Care, 183 South Orange Avenue, Newark, NJ 07103. The office can be reached at 973-972-5430 (phone) or 973-972-7173 (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 1538590880 directly on the NPPES registry website.

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