Individual provider Active NPI

Jose F Alvarado

  • Contractor
  • Ridgefield Park, NJ
National Provider Identifier
1134577224
Registry record updated May 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
0450076973 Issued in NJ
Practice address
137 Bergen Ave
Basement
Ridgefield Park, NJ 07660-1528
Phone
(201) 994-1616
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 0450076973 NJ Primary

Addresses

Primary practice location

137 Bergen Ave
Basement
Ridgefield Park, NJ 07660-1528

Mailing address

137 Bergen Ave
Basement
Ridgefield Park, NJ 07660-1528
Phone (201) 994-1616

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0450076973NJMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1134577224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BERGEN AVE",
            "address_2": "BASEMENT",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601528",
            "telephone_number": "201-994-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BERGEN AVE",
            "address_2": "BASEMENT",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601528",
            "telephone_number": "201-994-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "JOSE",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NJ",
            "license": "0450076973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.