Active NPI
Alexandra Spitz, PA-C
- Physician Assistant
- Hackensack, NJ
National Provider Identifier
1174988323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019269-1
- Practice address
- 358 Beech St
Hackensack, NJ 07601-1344 - Phone
- (201) 487-8600
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019269-1 | NY | Primary |
Addresses
Primary practice location
358 Beech St
Hackensack, NJ 07601-1344
Mailing address
358 Beech St
Hackensack, NJ 07601-1344
Phone (201) 487-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Maternal Resources PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- alexandra.spitz.1@7791.direct.athenahealth.com
- https://api.platform.athenahealth.com/7791/brand/4/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Specialist
- Hackensack, NJ
- NPI 1932572922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1174988323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 BEECH ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011344",
"telephone_number": "201-487-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 BEECH ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011344",
"telephone_number": "201-487-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZ",
"first_name": "ALEXANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019269-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
- Vadim Spektor, M.D.
- Steven J. Sperber, M.D.
- Jessica E Spiegel, PA-C
- Spinal Care of Hackensack, P.C.
- Spinal Medicine & Acupuncture, P.C.
- Barbara Spitzer, MD
- Lindsay Madeleine Peck Spohn, PA-C
- Sports Medicine Center of Bergen, PA (Excel Orthopedic Rehabilitation)
- Spring Valley Orthopedic and Rehabilitation LLC
- Stavroula Spyropoulos, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.