Individual
MS. INGRID AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
465 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(609) 890-1050
(609) 890-0950
Mailing address
PO BOX 830826, PHILADELPHIA, PA 19182-0826
(609) 890-1050
(609) 890-0950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15492000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15492000
NJ
Other
Enumeration date
12/19/2025
Last updated
04/30/2026
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