Individual provider Active NPI

Alan Alex

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1033757695
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026294 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
Dec 13, 2019
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 026294 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210405001059 NY Practitioner - Physician Assistant 1052728367 Reassigns benefits to 2 organizations
I20240916000308 PA Practitioner - Physician Assistant 1052728367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

325 W Germantown Pike
Suite 100 Ucosp East Norriton
East Norriton, PA 19403-4207
Phone (610) 272-1881

7604 Central Ave
Philadelphia, PA 19111-2433
Phone (215) 745-4130

945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614
Phone (610) 273-5320

9880 Bustleton Ave
Suite 208
Philadelphia, PA 19115-2143
Phone (215) 677-0667

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Consultants of Southeastern Pennsylvania LLP Current Accepting new patients
Alliance Physician Services, PC CurrentSince Sep 1, 2024 Accepting new patients
Alliance Physician Services, PC CurrentSince Sep 1, 2024 Accepting new patients
Alliance Physician Services, PC Past Accepting new patients

Locations

1235 Old York Rd
Ste 218
Abington, PA 19001
Phone (215) 517-1100

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004
Phone (610) 632-4100

945 Chesterbrook Blvd
Chesterbrook, PA 19087
Phone (610) 695-8088

175 Martin Ave
Ephrata, PA 17522
Phone (717) 721-8222

1800 Byberry Rd
Ste 1203
Huntingdon Valley, PA 19006
Phone (215) 517-1100

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

325 W Germantown Pike
Ste 100
Norristown, PA 19403
Phone (610) 272-1881

5401 Old York Rd
Ste 200
Philadelphia, PA 19141
Phone (215) 456-1177

7604 Central Ave
Ste 104
Philadelphia, PA 19111
Phone (215) 742-2100

9880 Bustleton Ave
Ste 208
Philadelphia, PA 19115
Phone (215) 667-0667

400 Davis Dr
Ste 200B
Plymouth Meeting, PA 19462
Phone (215) 242-8260

817 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-5071

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: alanalex@midlantic.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1033757695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEX",
        "first_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026294",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.