Renel Alexis
Individual provider Active NPI Licensed Practical Nurse · Paterson, NJ
NPI 1023707361 · NPPES record last updated May 10, 2023
Key facts
- NPI
- 1023707361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 26NP07904800 (NJ)
- Practice address
- 639 E 18TH St
Paterson, NJ 07501-2184 - Phone
- (973) 925-8885
- NPI assigned
- May 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NP07904800 | NJ | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26NP07904800 | NJ | Yes |
Addresses
Primary practice location
639 E 18TH St
Paterson, NJ 07501-2184
Mailing address
639 E 18TH St
Paterson, NJ 07501-2184
Other providers in Paterson, NJ
- Alden Leifer, MD. PC
- Alden Leifer, MD. PC
- Basel Aldroubi
- Alexander Haselkorn MD PA
- Alexis Sorazon MD & Ramon Sandoval MD Great Falls Medical Center
- Mohammed Waddah Alhaj Ali
- Ayishetu Alhassan
- Bushra Ali
- Hazim Ali
- Khalid Alielhassan
All providers in Paterson, NJ · Licensed Practical Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.