Individual provider Active NPI

Alexander Iofin, M.D.

  • Child & Adolescent Psychiatry Physician
  • Manasquan, NJ
National Provider Identifier
1053565630
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MA066477 Issued in NJ
Practice address
2517 Highway 35
BLDG H Suite 201 Valley Park Professional Center
Manasquan, NJ 08736-1918
Phone
(732) 528-3232
Fax
(732) 528-5495
NPI assigned
Nov 10, 2008
Last updated
Nov 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA066477 NJ
Child & Adolescent Psychiatry Physician 2084P0804X MA066477 NJ Primary

Addresses

Primary practice location

2517 Highway 35
BLDG H Suite 201 Valley Park Professional Center
Manasquan, NJ 08736-1918

Mailing address

2517 Highway 35
BLDG H Suite 201 Valley Park Professional Center
Manasquan, NJ 08736-1918
Phone (732) 528-3232

Other identifiers 2

IdentifierTypeStateIssuer
8081409MedicaidNJ
25MA06647700OtherNJNJ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090108000469 NJ Practitioner - Psychiatry 9638232275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

444 Neptune Blvd
Unit 17
Neptune, NJ 07753-4144
Phone (732) 528-3232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066477NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Psychiatric Care PA Psychiatry CurrentSince Jan 31, 2016 Accepting new patients

Locations

2517 Route 35
Ste 201
Manasquan, NJ 08736
Phone (732) 231-5170

444 Neptune Blvd
Unit 17
Neptune, NJ 07753
Phone (732) 528-3232

554 Commons Way
Bldg E
Toms River, NJ 08755
Phone (732) 341-7205

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1053565630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BLDG H SUITE 201 VALLEY PARK PROFESSIONAL CENTER",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-528-3232",
            "fax_number": "732-528-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BLDG H SUITE 201 VALLEY PARK PROFESSIONAL CENTER",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-528-3232",
            "fax_number": "732-528-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOFIN",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA066477",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "MA066477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8081409",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA06647700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.