Rebecca Brigham, NP
Nurse Practitioner, Family in Montclair, NJ. Individual provider (NPI-1).
NPI number1164217519
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1164217519
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Brigham
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ15240400 | NJ | Yes |
| 363LF0000X | Nurse Practitioner, Family | 356054 | NY |
Practice location
66 Park StMontclair, NJ 07042-5908
Phone 973-577-3010 · Fax 973-577-3011
Mailing address
66 Park StMontclair, NJ 07042-5908
Phone 973-577-3010 · Fax 973-577-3011
Other practice locations
714 Main St
Yarmouth Port, MA 02675-2000
Yarmouth Port, MA 02675-2000
Phone 508-362-1600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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