Healthcare Provider Details

I. General information

NPI: 1073944104
Provider Name (Legal Business Name): ALVA MOY-DALEY ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALVA MOY ANP-BC

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 US HIGHWAY 22
BRIDGEWATER NJ
08807-2916
US

IV. Provider business mailing address

1251 US HIGHWAY 22
BRIDGEWATER NJ
08807-2916
US

V. Phone/Fax

Practice location:
  • Phone: 908-237-4108
  • Fax: 908-237-6054
Mailing address:
  • Phone: 908-237-4108
  • Fax: 908-237-6054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP013346
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number26NJ01204400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: