Active NPI
Alexander Joel Ralys, DO
- General Practice Physician
- Jacksonville, FL
National Provider Identifier
1194266452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS20699
- Practice address
- 2624 Atlantic Blvd
Jacksonville, FL 32207-3609 - Phone
- (904) 513-3240
- Fax
- (904) 398-7871
- NPI assigned
- Mar 19, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS20699 | FL | Primary |
Addresses
Primary practice location
2624 Atlantic Blvd
Jacksonville, FL 32207-3609
Mailing address
2624 Atlantic Blvd
Jacksonville, FL 32207-3609
Phone (904) 513-3240
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20699 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1194266452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 ATLANTIC BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073609",
"telephone_number": "904-513-3240",
"fax_number": "904-398-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 ATLANTIC BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073609",
"telephone_number": "904-513-3240",
"fax_number": "904-398-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALYS",
"first_name": "ALEXANDER",
"middle_name": "JOEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-19",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS20699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.