Individual provider Active NPI

Lloyd Cortez Alcera, M.D.

  • Psychiatry Physician
  • Marlton, NJ
National Provider Identifier
1184854259
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08739000 Issued in NJ
Practice address
106 Centre Blvd
Suite G
Marlton, NJ 08053-4131
Phone
(856) 797-2810
Fax
(856) 797-2811
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD437934 PA
Psychiatry Physician 2084P0800X 25MA08739000 NJ Primary

Addresses

Primary practice location

106 Centre Blvd
Suite G
Marlton, NJ 08053-4131

Mailing address

106 Centre Blvd
Suite G
Marlton, NJ 08053-4131
Phone (856) 797-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110510000458 PA Practitioner - Psychiatry 8628254513
I20130820000343 NJ Practitioner - Psychiatry 8628254513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
New Age Behavioral PCGroup PAC ID 4688895717, 4 clinicians

Practice addresses (Care Compare)

10000 Lincoln Dr E
Suite 101a
Marlton, NJ 08053-3108
Phone (856) 797-2810

106 Centre Blvd G
Marlton, NJ 08053-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08739000NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Age Behavioral PC CurrentSince Aug 5, 2014 Accepting new patients

Locations

10000 Lincoln Dr E
Ste 101
Marlton, NJ 08053

106 Centre Blvd
Ste G
Marlton, NJ 08053
Phone (856) 797-2810

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1184854259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CENTRE BLVD",
            "address_2": "SUITE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534131",
            "telephone_number": "856-797-2810",
            "fax_number": "856-797-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CENTRE BLVD",
            "address_2": "SUITE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534131",
            "telephone_number": "856-797-2810",
            "fax_number": "856-797-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCERA",
        "first_name": "LLOYD",
        "middle_name": "CORTEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD437934",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08739000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.