Healthcare Provider Details

I. General information

NPI: 1811818628
Provider Name (Legal Business Name): LAURA GUZMAN ALVINO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA JEREZ RN

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CLARA MAASS DR
BELLEVILLE NJ
07109-3550
US

IV. Provider business mailing address

10 CENTRAL PL
WEST ORANGE NJ
07052-4302
US

V. Phone/Fax

Practice location:
  • Phone: 973-450-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number661667
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR21380200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: