Mrs. Alisa S Goulbourne-Scott, PA-C
Physician Assistant in Ridgewood, New Jersey
1942428255- Practice location
- 19 Henrietta CT, Ridgewood, NJ 07450-2938
- Phone
- 201-670-7498
- Fax
- —
- Last updated
- September 14, 2007
Alisa Stephanie Goulbourne-Scott is a Physician Assistant based in Ridgewood, NJ. Alisa Stephanie Goulbourne-Scott practices in Ridgewood, NJ and has the professional credentials of PA-C. The NPI Number for Alisa Stephanie Goulbourne-Scott is 1942428255 and holds a License No. 0041901 (NY). The current practice location address for Alisa Stephanie Goulbourne-Scott is 19 Henrietta CT, Ridgewood, NJ 07450-2938 and can be reached out via phone at 201-670-7498.
Provider Profile Details
- NPI Number
- 1942428255
- Provider Name
- Alisa Stephanie Goulbourne-Scott
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Henrietta CT, Ridgewood, NJ 07450-2938
- Phone Number
- 201-670-7498
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 23, 2007
- Last Update Date
- September 14, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Henrietta CT
Ridgewood, NJ 07450-2938 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-2938
- Phone Number
- 201-670-7498
Provider Business Mailing Address Details
- Address
- 19 Henrietta CT
Ridgewood, NJ 07450-2938 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-2938
- Phone Number
- 201-670-7498
License Information
- License Number
- 0041901
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Alisa S Goulbourne-Scott, PA-C?
The NPI number of Mrs. Alisa S Goulbourne-Scott, PA-C is 1942428255. It was assigned on April 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Alisa S Goulbourne-Scott, PA-C?
Mrs. Alisa S Goulbourne-Scott, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 0041901.
Where does Mrs. Alisa S Goulbourne-Scott, PA-C practice?
The practice location is 19 Henrietta CT, Ridgewood, NJ 07450-2938. The office can be reached at 201-670-7498 (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 1942428255 directly on the NPPES registry website.