Individual
ALISSA PRINCIPATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6395
(732) 923-5000
Mailing address
139 FORDHAM DR, MATAWAN, NJ 07747-2126
(908) 907-7744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ14853000
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NR18681600
NJ
Other
Enumeration date
06/22/2023
Last updated
05/05/2026
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