Healthcare Provider Details

I. General information

NPI: 1588580393
Provider Name (Legal Business Name): ALAA SAMEER HALABI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 COMMERCE BLVD STE 100
SUCCASUNNA NJ
07876-1343
US

IV. Provider business mailing address

26 BELLOWS LN
TOWACO NJ
07082-1138
US

V. Phone/Fax

Practice location:
  • Phone: 973-587-6404
  • Fax:
Mailing address:
  • Phone: 973-513-2796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15592400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: