Active NPIIndividual provider

Alyssa Wall

Nurse Practitioner, Obstetrics & Gynecology in Florham Park, New Jersey

NPI Number1588110746
Practice location
140 Park Ave, Florham Park, NJ 07932-1049
Fax
973-314-8931
Last updated
May 25, 2022

Alyssa Wall is a Nurse Practitioner, Obstetrics & Gynecology based in Florham Park, NJ. Alyssa Wall practices in Florham Park, NJ. The NPI Number for Alyssa Wall is 1588110746 and holds a License No. 26NJ00653400 (NJ). The current practice location address for Alyssa Wall is 140 Park Ave, Florham Park, NJ 07932-1049 and can be reached out via phone at 973-718-5775 and via fax at 973-314-8931.

Provider Profile Details

NPI Number
1588110746
Provider Name
Alyssa Wall
Provider Entity Type
Individual
Gender
Female
Address
140 Park Ave, Florham Park, NJ 07932-1049
Phone Number
973-718-5775
Fax Number
973-314-8931
Primary Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2016
Last Update Date
May 25, 2022
Certification Date
May 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Park Ave
Florham Park, NJ 07932-1049
Zip
07932-1049
Phone Number
973-718-5775
Fax Number
973-314-8931
Florham Park, NJ 07932Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104

License Information

License Number
26NJ00653400
License State
NJ
Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X · 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 Alyssa Wall?

The NPI number of Alyssa Wall is 1588110746. It was assigned on August 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Alyssa Wall?

Alyssa Wall is registered under the primary taxonomy Nurse Practitioner, Obstetrics & Gynecology (code 363LX0001X), licensed in NJ under license number 26NJ00653400.

Where does Alyssa Wall practice?

The practice location is 140 Park Ave, Florham Park, NJ 07932-1049. The office can be reached at 973-718-5775 (phone) or 973-314-8931 (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 1588110746 directly on the NPPES registry website.

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