Individual provider Active NPI

Alexandra Defrance, PA-C

  • Physician Assistant
  • Clifton, NJ
National Provider Identifier
1144951492
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00807400 Issued in NJ
Practice address
1111 Paulison Ave
Clifton, NJ 07011-3600
Phone
(973) 954-4055
NPI assigned
Jun 17, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00807400 NJ Primary
Surgical Physician Assistant 363AS0400X 030662 NY
Surgical Physician Assistant 363AS0400X 25MP00807400 NJ

Addresses

Primary practice location

1111 Paulison Ave
Clifton, NJ 07011-3600

Mailing address

28 Irving St Unit 1
Montclair, NJ 07042-4524
Phone (860) 301-9935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240109001805 NJ Practitioner - Physician Assistant 9133570682 Reassigns benefits to 1 organization
I20240127000179 NY Practitioner - Physician Assistant 9133570682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
814 Undercliff Medical PCGroup PAC ID 2860938123, 4 clinicians

Practice addresses (Care Compare)

3 Somerset LN
Edgewater, NJ 07020-2419
Phone (718) 682-3686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00807400NJMDSurgical Physician Assistant
030662NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ilana Etelzon MD PC PastSince May 22, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1144951492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 IRVING ST UNIT 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424524",
            "telephone_number": "860-301-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113600",
            "telephone_number": "973-954-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCE",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00807400",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "030662",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00807400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.