MEDICARE: ALYSSA L DEFILIPPO RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	26NR21573200	NJ

General Provider Information

NPI Number	:	1639010846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA L DEFILIPPO RN

Provider Business Mailing Address
First Line	:	46 OLD MOUNTAIN RD
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-4200
Country	:	US
Telephone Number	:	732-710-1148
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 OLD MOUNTAIN RD
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-4200
Country	:	US
Telephone Number	:	732-710-1148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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