Individual provider Active NPI

Cecil F Alvarez, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • South Plainfield, NJ
National Provider Identifier
1245400191
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00195300 Issued in NJ
Practice address
2509 Park Ave
Silver Zone-6TH Floor
South Plainfield, NJ 07080-5300
Phone
(908) 756-7200
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00195300 NJ Primary
Medical Physician Assistant 363AM0700X 012179-1 NY

Addresses

Primary practice location

2509 Park Ave
Silver Zone-6TH Floor
South Plainfield, NJ 07080-5300

Mailing address

2509 Park Avenue
South Plainfied, NJ 07080-9998
Phone (908) 756-7200

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012179NYMDSpeech-Language Pathologist
25MP00195300NJMDMedical Physician Assistant
012179-1NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1245400191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PARK AVENUE",
            "city": "SOUTH PLAINFIED",
            "state": "NJ",
            "postal_code": "070809998",
            "telephone_number": "908-756-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE",
            "address_2": "SILVER ZONE-6TH FLOOR",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805300",
            "telephone_number": "908-756-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "CECIL",
        "middle_name": "F",
        "name_prefix": "Miss",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00195300",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012179-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.