Healthcare Provider Details

I. General information

NPI: 1326977455
Provider Name (Legal Business Name): ERICA ALESSANDRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BRACE RD STE 3C
CHERRY HILL NJ
08034-2600
US

IV. Provider business mailing address

360 S 1ST RD
HAMMONTON NJ
08037-8403
US

V. Phone/Fax

Practice location:
  • Phone: 856-470-9053
  • Fax: 856-424-7154
Mailing address:
  • Phone: 856-649-8560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15484100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: