Alexander Gotesman, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA09130400 Issued in NJ

Practice address

1374 Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3701

Phone

(609) 586-1319

NPI assigned

Sep 24, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakewood Urology Limited Liability Company

  • Urology Physician
  • Hamilton, NJ
  • NPI 1356569388
  Medicare reassignment NPD
• Lakewood Urology Limited Liability Company

  • Non-Pharmacy Dispensing Site
  • Toms River, NJ
  • NPI 1295513273
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1003002072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307134",
            "telephone_number": "347-564-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-586-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTESMAN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "221653",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA09130400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorivee Gonzalez
• Jenna Gonzalez, APN
• Nicole Danielle Goodall, LPN
• Erain Marissa Gordon, PSY.D.
• Kamilah Gorrell, MSW, LSW
• Grace and Heart Home Care LLC
• Grace Community Care and Homes Inc.
• Peter J Graham, O.D.
• Bria Graves, BCBA
• Ashley Gravina

• Urology Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.