Individual provider Active NPI

Maria Jose Alexander

  • Dentist
  • Union City, NJ
National Provider Identifier
1144955881
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02919500 Issued in NJ
Practice address
407 39TH St Ste 401
Union City, NJ 07087-5367
Phone
(201) 330-2837
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02919500 NJ Primary

Addresses

Primary practice location

407 39TH St Ste 401
Union City, NJ 07087-5367

Mailing address

425 E 63Rd St Apt E9G
New York, NY 10065-7850
Phone (917) 679-2628

Other practice location 1

354 Grove St # 1B
Jersey City, NJ 07302-2934
Phone (201) 654-0490

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
22DI02919500NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1144955881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 63RD ST APT E9G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657850",
            "telephone_number": "917-679-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 39TH ST STE 401",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875367",
            "telephone_number": "201-330-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Grove St # 1B",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073022934",
            "country_code": "US",
            "telephone_number": "201-654-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MARIA JOSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02919500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.