Individual provider · Type 1 NPI

Al-Jathiyah Burgess

Student in an Organized Health Care Education/Training Program · Nutley, NJ

NPI number 1508744764 Active

Practice location

340 Kingsland St
Nutley, NJ 07110-1150

Call (973) 761-9306 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508744764

Al-Jathiyah Burgess's National Provider Identifier is 1508744764, issued on Aug 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nutley, NJ. The record was last updated on Aug 25, 2025.