Alsona Healthcare Services, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA07842400 Issued in NJ

Legal business name

ALSONA HEALTHCARE SERVICES, LLC

Practice address

679 Montgomery St
Jersey City, NJ 07306-3324

Phone

(201) 433-7760

Fax

(201) 433-8010

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alfred R. Tawadrous, M.D.

Title

Pres.

Phone

(347) 677-3022

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1235327479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063324",
            "telephone_number": "201-433-7760",
            "fax_number": "201-433-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063324",
            "telephone_number": "201-433-7760",
            "fax_number": "201-433-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSONA HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "TAWADROUS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "347-677-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA07842400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA07842400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.