Individual provider Active NPI

Alexander J Smith, DC

  • Chiropractor
  • Montvale, NJ
National Provider Identifier
1013433671
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00747600 Issued in NJ
Practice address
2 S Kinderkamack Rd
Montvale, NJ 07645-2168
Phone
(201) 746-6577
NPI assigned
Aug 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00747600 NJ Primary

Addresses

Primary practice location

2 S Kinderkamack Rd
Montvale, NJ 07645-2168

Mailing address

263 Woodlands Dr
Tuxedo Park, NY 10987-4819
Phone (551) 427-0079

Other practice location 1

31 Vervalen St
Closter, NJ 07624-2699
Phone (201) 784-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004003131 NJ Practitioner - Chiropractic 8426323254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Health Center of Closter PCGroup PAC ID 7214209030, 11 clinicians

Practice addresses (Care Compare)

31 Ver Valen St
Closter, NJ 07624-2699
Phone (201) 784-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00747600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Health Center of Closter PC Chiropractor CurrentSince Jun 2, 2018 Accepting new patients
The Spine and Health Center of Montvale Chiropractor CurrentSince Aug 22, 2017 Accepting new patients
North American Partners in Pain Management New Jersey LLC Past Accepting new patients
Active PT Home Care Past Accepting new patients

Locations

31 Ver Valen St
Closter, NJ 07624
Phone (201) 784-2700

32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479

2 S Kinderkamack Rd
Ste 208
Montvale, NJ 07645
Phone (201) 746-6577

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013433671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 WOODLANDS DR",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874819",
            "telephone_number": "551-427-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S KINDERKAMACK RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452168",
            "telephone_number": "201-746-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Vervalen St",
            "address_purpose": "LOCATION",
            "city": "Closter",
            "state": "NJ",
            "postal_code": "076242699",
            "country_code": "US",
            "telephone_number": "201-784-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00747600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.