Active NPI
Alexander Joseph Visco, M.D.
- Physical Medicine & Rehabilitation Physician
- Hoboken, NJ
National Provider Identifier
1205968310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MA07808900
- Practice address
- 720 Monroe St Ste E304
Hoboken, NJ 07030-6352 - Phone
- (201) 533-9200
- NPI assigned
- Mar 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 231025-3 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MA07808900 | NJ | Primary |
Addresses
Primary practice location
720 Monroe St Ste E304
Hoboken, NJ 07030-6352
Mailing address
720 Monroe St Ste E304
Hoboken, NJ 07030-6352
Phone (201) 533-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers New Jersey Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
720 Monroe St
Suite C 208
Hoboken, NJ 07030-5000
739 Bloomfield St
Apt 1
Hoboken, NJ 07030-5000
Phone (201) 533-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231025-3 | NY | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ijkg Opco LLC | Current | Accepting new patients | |
| East Coast Spine Joint and Sports Medicine | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
720 Monroe St
Ste E304
Hoboken, NJ 07030
720 Monroe St
Ste C208
Hoboken, NJ 07030
Phone 20153392001005
Interoperability endpoints
- alexander.visco@direct.bayonnemedicalcenter.md
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Hoboken, NJ
- NPI 1194904730
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1205968310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 MONROE ST STE E304",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306352",
"telephone_number": "201-533-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 MONROE ST STE E304",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306352",
"telephone_number": "201-533-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCO",
"first_name": "ALEXANDER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "231025-3",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MA07808900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.