Healthcare Provider Details

I. General information

NPI: 1679372106
Provider Name (Legal Business Name): ALEXIA COLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

284 BROADWAY
NEWARK NJ
07104-4003
US

IV. Provider business mailing address

17 FAIRVIEW AVE APT 3A
SOUTH ORANGE NJ
07079-2533
US

V. Phone/Fax

Practice location:
  • Phone: 973-482-8411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: