Alexander Kolessa Medical P.C.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ALEXANDER KOLESSA MEDICAL P.C.

Doing business as

Alexander Kolessa,MD

Practice address

44 Monroe St # A24
New York, NY 10002-7701

Phone

(732) 425-3564

Fax

(866) 633-3687

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Kolessa, MDNPI 1902009459

Title

Owner

Phone

(732) 425-3564

Specialties & licenses 1

Addresses

Other names 1

• Alexander Kolessa,MD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Kolessa, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1902009459
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1013681220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 HILLCREST RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501520",
            "telephone_number": "732-425-3564",
            "fax_number": "866-633-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MONROE ST # A24",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027701",
            "telephone_number": "732-425-3564",
            "fax_number": "866-633-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER KOLESSA MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "KOLESSA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-425-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander Kolessa,MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Community Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.