Meadowlands Medical Center, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME70009 Issued in FL

Legal business name

MEADOWLANDS MEDICAL CENTER, PA

Practice address

1543 Kingsley Ave BLDG 1
Orange Park, FL 32073-4535

Phone

(904) 706-1636

Fax

(904) 592-1322

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Marc Louis Alessandria, MDNPI 1598797169

Title

Owner/President

Phone

(904) 706-1636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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

• Marc L Alessandria, MD

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1598797169
  Medicare reassignment Authorized official
• Wilbur Bala, M.D.

  • General Practice Physician
  • Raiford, FL
  • NPI 1245660406
  NPD (past)
• Lawrence C Morris, DC

  • Chiropractor
  • Orange Park, FL
  • NPI 1952325888
  NPD (past)
• Osler FC Rivas, MD

  • Specialist
  • Pensacola, FL
  • NPI 1699989707
  NPD (past)
• Angelito B Tecson, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1144283219
  NPD (past)
• Lucien David Young, D.O.

  • Internal Medicine Physician
  • Pecos, NM
  • NPI 1730150178
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1124050711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 SENTRY OAK CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033775",
            "telephone_number": "904-706-1636",
            "fax_number": "904-592-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE BLDG 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734535",
            "telephone_number": "904-706-1636",
            "fax_number": "904-592-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLANDS MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRIA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-706-1636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME70009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C McQueen Jr., LMHC
• Jailah McRae
• Thomas E McRae, D.D.S.
• Daniel Duane McWhite
• Jormeka Meade
• Medfund LLC (Horizon Jacksonville South LLC)
• Medical Hotspots, Inc (Bailey's Medical Equipment and Supplies)
• Medical Hotspots, Inc (Bailey's Pharmacy)
• Medical Neurodiagnostics & Neurology PL
• Medical Partners of Jacksonville LLC (Spine and Joint Pain Management)

• Primary Care Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.