Healthcare Provider Details

I. General information

NPI: 1013329085
Provider Name (Legal Business Name): ALISON GRIFFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 W MAIN ST STE 2C
FREEHOLD NJ
07728-2051
US

IV. Provider business mailing address

149 W MAIN ST STE 2C
FREEHOLD NJ
07728-2051
US

V. Phone/Fax

Practice location:
  • Phone: 848-400-4656
  • Fax:
Mailing address:
  • Phone: 848-400-4656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00510600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408495
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number306992
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR17231200
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00510600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: