Individual provider Active NPI

Irina Alekseyeva, M.D.

  • Anesthesiology Physician
  • Fort Lee, NJ
National Provider Identifier
1093719478
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
218480 Issued in NY
Practice address
391 Lincoln Ave
Fort Lee, NJ 07024-5045
Phone
(917) 650-8786
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07524800 NJ
Anesthesiology Physician 207L00000X 218480 NY Primary

Addresses

Primary practice location

391 Lincoln Ave
Fort Lee, NJ 07024-5045

Mailing address

391 Lincoln Ave
Fort Lee, NJ 07024-5045
Phone (917) 650-8786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090126000335 NJ Practitioner - Anesthesiology 1052475704 Reassigns benefits to 6 organizations
I20110421000204 NY Practitioner - Anesthesiology 1052475704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ambulatory Anesthesia LLCGroup PAC ID 9335134170, 9 clinicians
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

1176 Hamburg Tpke
Wayne, NJ 07470-5069
Phone (973) 709-1900

925 Clifton Ave
Suite 100
Clifton, NJ 07013-2724
Phone (973) 458-0408

Merit-based Incentive Payment System (MIPS)

Final score
92.42 of 100Reported as group
Quality
91.18
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07524800NJMDSpecialist
218480NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Anesthesia Associates LLC Anesthesiology CurrentSince May 9, 2023 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC Specialist CurrentSince Sep 15, 2021 Accepting new patients
Canj Anesthesia LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Barnabas Health Multispecialty Anesthesiology CurrentSince Sep 1, 2016 Accepting new patients
Vivian K. Bethala, MD PA Specialist CurrentSince Mar 22, 2017 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Specialist CurrentSince Feb 1, 2016 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology PastSince Nov 26, 2019 Accepting new patients
Barnabas Health Medical Group, PC Specialist Past Accepting new patients
Gastroenterology Diagnostics of Northern New Jersey, PA PastSince Jun 1, 2022 Accepting new patients

Locations

1 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-7333

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

925 Clifton Ave
Ste 100
Clifton, NJ 07013
Phone (973) 458-0408

925 Clifton Ave
Ste 201
Clifton, NJ 07013
Phone (973) 249-7700

466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005

910 Sylvan Ave
Ste 200
Englewood Cliffs, NJ 07632
Phone (551) 230-3004

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

214 Terrace Ave
Hasbrouck Heights, NJ 07604
Phone (201) 288-6330

101 Madison Ave
Ste 100
Morristown, NJ 07960
Phone (973) 455-0404

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

3 Winslow Pl
Ste 1
Paramus, NJ 07652
Phone (201) 546-1890

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

160 Pehle Ave
Ste 103
Saddle Brook, NJ 07663
Phone (201) 881-1000

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 722-9556

101 Old Short Hills Rd
Ste 217
West Orange, NJ 07052
Phone (973) 731-4600

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

200 Broadway
Ste 3149
Brooklyn, NY 11211

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Interoperability endpoints

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

Organizations & group practices 11

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1093719478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LINCOLN AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245045",
            "telephone_number": "917-650-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LINCOLN AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245045",
            "telephone_number": "917-650-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEKSEYEVA",
        "first_name": "IRINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07524800",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "218480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.