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

Mrs. Alexandra Karin Bevacqua

Individual provider Family Nurse Practitioner · NPI 1104787639

Mrs. Alexandra Karin Bevacqua is a Nurse Practitioner in Wall Township, New Jersey. Qualified in 2023, 3 years ago. Practices with Medical Offices of New Jersey Shore LLC, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2025

Practice location Address checks out

1959 Rte 34 Ste 202
Wall Township, NJ 07719-9790
Phone: (732) 943-1811
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 26NJ15041900 (NJ)

Record details

NPI number1104787639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address109 Robinson Pl, Shrewsbury, NJ 07702-4437

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Offices Of New Jersey Shore Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wall Township