Healthcare Provider Details

I. General information

NPI: 1487105177
Provider Name (Legal Business Name): MS. ALISON JADIE BARRIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2016
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 FROM RD STE 220
PARAMUS NJ
07652-3551
US

IV. Provider business mailing address

650 FROM RD STE 220
PARAMUS NJ
07652-3551
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-2550
  • Fax: 201-342-7171
Mailing address:
  • Phone: 201-342-2550
  • Fax: 201-342-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00663100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: