Individual provider Active NPI

Dale Alexander, MD

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1023185659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
229782 Issued in NY
Practice address
825 Broadway
Brooklyn, NY 11206-7306
Phone
(718) 302-9494
NPI assigned
Nov 29, 2006
Sex
Male
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
Legal Medicine 173000000X 229782 NY Primary

Addresses

Primary practice location

825 Broadway
Brooklyn, NY 11206-7306

Mailing address

825 Broadway
Brooklyn, NY 11206-7306
Phone (718) 302-9494

Other identifiers 1

IdentifierTypeStateIssuer
02604933MedicaidNY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040809000748 NY Practitioner - Physical Medicine and Rehabilitation 5698747871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1736 Shore Pkwy
Brooklyn, NY 11214-6547
Phone (718) 372-6993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Physical Medicine and Rehabilitation Services, PC CurrentSince Nov 1, 2005 Accepting new patients
Zhanna Roit, M.D. P.C PastSince Apr 1, 2004 Accepting new patients

Locations

146 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 723-9305

4 Expressway Plz
Ste 110
Roslyn Heights, NY 11577
Phone (516) 621-4062

1 Expressway Plz
Ste 100
Roslyn Heights, NY 11577
Phone (516) 299-4540

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEHBDD/Endpoint/BEHBDD

Organizations & group practices 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023185659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067306",
            "telephone_number": "718-302-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112067306",
            "telephone_number": "718-302-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "229782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02604933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.