Provider Demographics
NPI:1982445672
Name:ALPHONSUS, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ALPHONSUS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:33 E 33RD ST FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5362
Mailing Address - Country:US
Mailing Address - Phone:844-337-6362
Mailing Address - Fax:646-665-3604
Practice Address - Street 1:1000 ROUTE 35 STE 200
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2609
Practice Address - Country:US
Practice Address - Phone:973-571-2121
Practice Address - Fax:732-856-9373
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical