Individual provider Active NPI

Felocelia Deladisma Alcid, M.D.

  • General Practice Physician
  • Paramus, NJ
National Provider Identifier
1124062344
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MA02464300 Issued in NJ
Practice address
W.38 Glen Avenue
Paramus, NJ 07652-2324
Phone
(201) 447-0785
Fax
(973) 890-4574
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25MA02464300 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

W.38 Glen Avenue
Paramus, NJ 07652-2324

Mailing address

38 Glen Ave
Paramus, NJ 07652-2326
Phone (201) 447-0785

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
001638B1JOtherMEDICAL BILLING NUMBER
2840502MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2010.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1124062344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GLEN AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522326",
            "telephone_number": "201-447-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W.38 GLEN AVENUE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522324",
            "telephone_number": "201-447-0785",
            "fax_number": "973-890-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCID",
        "first_name": "FELOCELIA",
        "middle_name": "DELADISMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA02464300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BILLING NUMBER",
            "identifier": "001638B1J",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2840502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.