Healthcare Provider Details

I. General information

NPI: 1144143082
Provider Name (Legal Business Name): MS. ALYSSA JEANINE LAMOUR-STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 BERGEN ST
NEWARK NJ
07107-3001
US

IV. Provider business mailing address

780 E 2ND ST APT 1I
BROOKLYN NY
11218-5631
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-4307
  • Fax:
Mailing address:
  • Phone: 347-753-0806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR26348000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: