Individual provider Active NPI

Aissa Alexeeva, MD

  • Epilepsy Physician
  • Lawrenceville, NJ
National Provider Identifier
1093799876
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
25MA07867600 Issued in NJ
Practice address
3120 Princeton Pike FL 2
Lawrenceville, NJ 08648-2325
Phone
(609) 896-1701
Fax
(609) 896-3735
NPI assigned
Dec 5, 2005
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA07867600 NJ
Clinical Neurophysiology Physician 2084N0600X 25MA07867600 NJ
Epilepsy Physician 2084E0001X 25MA07867600 NJ Primary

Addresses

Primary practice location

3120 Princeton Pike FL 2
Lawrenceville, NJ 08648-2325

Mailing address

3120 Princeton Pike FL 2
Lawrenceville, NJ 08648-2325
Phone (609) 896-1701

Other practice location 1

8 Forrestal Rd S
Princeton, NJ 08540-6658
Phone (609) 896-1701

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Aissa.Alexeeva.1@12833.direct.athenahealth.org Direct
Direct Messaging Address issa.Alexeeva.1@12833.direct.athenahealth.org Direct

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
I20050606001006 NJ Practitioner - Neurology 4284677790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

8 Forrestal Rd S
Princeton, NJ 08540-6658
Phone (609) 896-1701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07867600NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Neurology CurrentSince Feb 1, 2024 Accepting new patients
Princeton Endocrinology Associates, LLC Specialist PastSince Jan 1, 2009 Accepting new patients

Locations

3120 Princeton Pike
Ste 21
Lawrenceville, NJ 08648
Phone (609) 896-1701

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

8 Forrestal Rd S
Princeton, NJ 08540
Phone (609) 896-1701

1700 Nottingham Way
Ste 108
Trenton, NJ 08619
Phone (609) 303-4870

Interoperability endpoints

  • Direct secure messaging: aissa.alexeeva.1@12833.direct.athenahealth.com
  • Direct secure messaging: aissa.alexeeva.1@12833.direct.athenahealth.org
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: issa.alexeeva.1@12833.direct.athenahealth.org

Organizations & group practices 3

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 4

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1093799876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 PRINCETON PIKE FL 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482325",
            "telephone_number": "609-896-1701",
            "fax_number": "609-896-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 PRINCETON PIKE FL 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482325",
            "telephone_number": "609-896-1701",
            "fax_number": "609-896-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Forrestal Rd S",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085406658",
            "country_code": "US",
            "telephone_number": "609-896-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXEEVA",
        "first_name": "AISSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07867600",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA07867600",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NJ",
            "license": "25MA07867600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aissa.Alexeeva.1@12833.direct.athenahealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3120 Princeton Pike Fl 2",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "issa.Alexeeva.1@12833.direct.athenahealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 Forrestal Rd S",
            "city": "Princeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085406658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.