Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amirah J Brack, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1083386056

Amirah J Brack, FNP-BC is a Nurse Practitioner in Avenel, New Jersey. Qualified in 2019, 7 years ago. Practices with Epilepsy and Neurophysiology Medical Consultants PA, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1804 Forest View Dr
Avenel, NJ 07001-2173
Phone: (908) 361-3224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ01206100 (NJ)

Record details

NPI number1083386056
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 29, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Epilepsy And Neurophysiology Medical Consultants Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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