Active NPI
Alexandra J D'Agostini, MD
- Pediatric Orthopaedic Surgery Physician
- Cedar Knolls, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 25MA11623200
- Practice address
- 218 Ridgedale Ave Ste 101
Cedar Knolls, NJ 07927-2109 - Phone
- (973) 538-7700
- Fax
- (973) 538-9478
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 89282 | GA | |
| Orthopaedic Surgery Physician | 207X00000X | 25MA11623200 | NJ | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 25MA11623200 | NJ | Primary |
Addresses
Primary practice location
218 Ridgedale Ave Ste 101
Cedar Knolls, NJ 07927-2109
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89282 | GA | MD | Orthopaedic Surgery Physician |
| 25MA11623200 | NJ | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consensus Medical Group LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Children'S Orthopaedics of Atlanta P.C. | Orthopaedic Surgery | Past | Accepting new patients |
| CMG Medical Group I LLC | Past | Accepting new patients |
Locations
218 Ridgedale Ave
Ste 101
Cedar Knolls, NJ 07927
Phone (973) 285-1700
706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888
402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787
404 Lippincott Dr
Marlton, NJ 08053
609 Morris Ave
Fl 2
Springfield, NJ 07081
Phone (732) 532-3668
Interoperability endpoints
- adagostini17891@uihealth.direct-ci.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Manasquan, NJ
- NPI 1811466881
Orthopaedic Surgery
-
- Family Medicine Physician
- Manalapan, NJ
- NPI 1942778014
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1548247000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1104288232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 RIDGEDALE AVE STE 101",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272109",
"telephone_number": "973-538-7700",
"fax_number": "973-538-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINI",
"first_name": "ALEXANDRA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "89282",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA11623200",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NJ",
"license": "25MA11623200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.