Alyson Butler, PA
Individual provider Active NPI Physician Assistant · Oradell, NJ
NPI 1124415518 · NPPES record last updated Nov 10, 2016
Key facts
- NPI
- 1124415518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00092700 (NJ)
- Practice address
- 680 Kinderkamack Rd
Suite 200
Oradell, NJ 07649 - Phone
- (201) 666-4200
- Fax
- (201) 666-2262
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231107000732 | NJ | Practitioner - Physician Assistant | 8022465418 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00092700 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Current |
Accepting new patients |
Locations
338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838
680 Kinderkamack Rd
Ste 200
Oradell, NJ 07649
Phone (201) 666-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00092700 | NJ | Yes |
Addresses
Primary practice location
680 Kinderkamack Rd
Suite 200
Oradell, NJ 07649
Mailing address
680 Kinder Kanack Rd
Suite 200
Oradell, NJ 07649
Phone (201) 666-4200
Other providers in Oradell, NJ
- Agape Abby Boxman
- Braun Medical Associates a Professional Association
- Maryellen Patricia Brucato
- Bruce Meyer, OD, LLC
- Mosse Burns
- Carl J. Battista, MD, PC
- Joseph Carlozzo
- Cedar Medical LLC
- Rebecca Chang
- Jennifer Winsa Charles
All providers in Oradell, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.