Healthcare Provider Details

I. General information

NPI: 1225958937
Provider Name (Legal Business Name): ALINE FILIPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 HILLSIDE AVE
SOUTH RIVER NJ
08882-2056
US

IV. Provider business mailing address

141 HILLSIDE AVE
SOUTH RIVER NJ
08882-2056
US

V. Phone/Fax

Practice location:
  • Phone: 848-391-1029
  • Fax:
Mailing address:
  • Phone: 848-391-1029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number002888-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number16LP00016600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: