Individual provider Active NPI

Leah Marie Alexander, M.D,

  • Pediatrics Physician
  • Fair Lawn, NJ
National Provider Identifier
1013052059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07101100 Issued in NJ
Practice address
20-20 Fair Lawn Ave
Pediatricare Associates
Fair Lawn, NJ 07410-2300
Phone
(201) 791-4545
NPI assigned
Feb 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07101100 NJ Primary

Addresses

Primary practice location

20-20 Fair Lawn Ave
Pediatricare Associates
Fair Lawn, NJ 07410-2300

Mailing address

25 Ave at Port Imperial Apt 626
West New York, NJ 07093-8357
Phone (201) 558-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07101100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatricare Associates Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leah.alexander@pediatricareassociates.chartmakerdirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013052059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 AVE AT PORT IMPERIAL APT 626",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070938357",
            "telephone_number": "201-558-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-20 FAIR LAWN AVE",
            "address_2": "PEDIATRICARE ASSOCIATES",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102300",
            "telephone_number": "201-791-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07101100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.