Healthcare Provider Details

I. General information

NPI: 1487427043
Provider Name (Legal Business Name): AMANDA ALOISI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2023
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GARDEN STATE PLZ
PARAMUS NJ
07652-2417
US

IV. Provider business mailing address

609 JEFFERSON ST APT 4A
HOBOKEN NJ
07030-8004
US

V. Phone/Fax

Practice location:
  • Phone: 551-465-7083
  • Fax:
Mailing address:
  • Phone: 732-618-8032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14927000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: