Ralph J Alvarez, MD, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

168391 Issued in NY

Legal business name

RALPH J ALVAREZ, MD, PLLC

Practice address

9 Grand St
Warwick, NY 10990-1007

Phone

(845) 986-6969

Fax

(845) 986-0024

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ralph J Alvarez, MDNPI 1346368370

Title

Physician/Manager

Phone

(845) 986-6969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Joseph Alvarez, MD

  • Internal Medicine Physician
  • Warwick, NY
  • NPI 1346368370
  Medicare reassignment NPD Authorized official
• Makeen Khalil Yacoub, MDFRCS

  • Family Medicine Physician
  • Warwick, NY
  • NPI 1457370561
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1053677229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GRAND ST",
            "address_2": "PO BOX 405",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901007",
            "telephone_number": "845-986-6969",
            "fax_number": "845-986-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GRAND ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901007",
            "telephone_number": "845-986-6969",
            "fax_number": "845-986-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH J ALVAREZ, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER",
        "authorized_official_telephone_number": "845-986-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "168391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE NUMBER",
            "identifier": "168391",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Warwick, NY
• Providers in Warwick, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.