1609868579 NPI number — MS. ANNE CATHERINE ALBIEZ NURSE PRACTITIONER

Table of content: MS. ANNE CATHERINE ALBIEZ NURSE PRACTITIONER (NPI 1609868579)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609868579 NPI number — MS. ANNE CATHERINE ALBIEZ NURSE PRACTITIONER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALBIEZ
Provider First Name:
ANNE
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NURSE PRACTITIONER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609868579
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 HOT SPRINGS TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARNEGAT
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08005-5619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-698-0455
Provider Business Mailing Address Fax Number:
732-785-3296

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 ROUTE 88 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08724-2320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-376-1700
Provider Business Practice Location Address Fax Number:
732-785-3296
Provider Enumeration Date:
08/17/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  F400243-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 363LP0808X , with the licence number: 26NJ00092500 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01777655 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: F400243-1 . This is a "NP LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 26NJ00092500 . This is a "ADVANCE PRACTOCE NURSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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