Healthcare Provider Details

I. General information

NPI: 1164214367
Provider Name (Legal Business Name): ALINE FRANCESSCA MINCHALA ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ATLANTIC CITY BLVD
BAYVILLE NJ
08721-1229
US

IV. Provider business mailing address

300 LINDEN AVE
PINE BEACH NJ
08741-1551
US

V. Phone/Fax

Practice location:
  • Phone: 732-349-5550
  • Fax:
Mailing address:
  • Phone: 908-278-7909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01168900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ01168900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: