Healthcare Provider Details

I. General information

NPI: 1669314282
Provider Name (Legal Business Name): ALEXANDRIA N LLAURADO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 DAVIS AVE FL 4
NEPTUNE CITY NJ
07753-4488
US

IV. Provider business mailing address

19 DAVIS AVE FL 4
NEPTUNE CITY NJ
07753-4488
US

V. Phone/Fax

Practice location:
  • Phone: 732-974-0003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number25MP01030000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: