Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SERAH A DOUGLAS
NPI 1053216440
Nurse Practitioner - Family in Old Bridge, NJ

Q: What is Serah Douglas's NPI number?

The NPI number for Serah Douglas is 1053216440. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Q: What is Serah Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Serah Douglas was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2026

59 ALPHA AVE, OLD BRIDGE, NJ 08857(551) 271-9150 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Serah A Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERAH A DOUGLAS (NPI 1053216440) is an individual family provider in Old Bridge, New Jersey, licensed in New Jersey (26NJ15685500) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1053216440

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSERAH A DOUGLAS

Location Address59 ALPHA AVEOld Bridge, NJ 08857-2226

Mailing Address59 Alpha AveOld Bridge, NJ 08857-2226 · (862) 772-9721

Phone(551) 271-9150

Sole ProprietorYes

Enumeration DateOctober 14, 2026

NPPES CertifiedOctober 14, 2026

✔ NPI 1053216440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ15685500

59 ALPHA AVE, Old Bridge, NJ 08857

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serah Douglas's NPI number?

The NPI number for Serah Douglas is 1053216440. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Where is Serah Douglas located?

Serah Douglas practices at 59 Alpha Ave, Old Bridge, NJ 08857. The listed phone number is (551) 271-9150.

What is Serah Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Serah Douglas was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.