Active NPI
Fern A. Alexander
- Specialist
- North Baldwin, NY
National Provider Identifier
1104189216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 518 Woodland Estates Dr
North Baldwin, NY 11510-1263 - Phone
- (516) 521-0804
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
518 Woodland Estates Dr
North Baldwin, NY 11510-1263
Mailing address
518 Woodland Estates Dr
North Baldwin, NY 11510-1263
Phone (516) 521-0804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930857114 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1104189216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 WOODLAND ESTATES DR",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101263",
"telephone_number": "516-521-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 WOODLAND ESTATES DR",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101263",
"telephone_number": "516-521-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "FERN",
"middle_name": "A.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "930857114",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.