Alyson Butler, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00092700 Issued in NJ

Practice address

680 Kinderkamack Rd
Suite 200
Oradell, NJ 07649

Phone

(201) 666-4200

Fax

(201) 666-2262

NPI assigned

Apr 23, 2015

Last updated

Nov 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regional Women's Health Group, LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536
  Medicare reassignment
• Regional Womens Health Group LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118
  NPD

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1124415518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 KINDER KANACK RD",
            "address_2": "SUITE 200",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-666-4200",
            "fax_number": "201-666-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 KINDERKAMACK RD",
            "address_2": "SUITE 200",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-666-4200",
            "fax_number": "201-666-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALYSON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00092700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Abby Boxman, LCSW
• Braun Medical Associates a Professional Association
• Maryellen Patricia Brucato, DPM
• Bruce Meyer, OD, LLC (Riverdell Family Vision Care)
• Mosse Burns, MSW, LCSW
• Carl J. Battista, MD, PC
• Joseph Carlozzo, LCSW
• Cedar Medical LLC
• Rebecca Chang
• Jennifer Winsa Charles, M.D.

• Physician Assistant in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.

Verify at the official NPI Registry.