Individual provider Active NPI

Alina Jimenez, P.A.

  • Medical Physician Assistant
  • Perth Amboy, NJ
National Provider Identifier
1255367587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00133500 Issued in NJ
Practice address
86 New Brunswick Ave
Perth Amboy, NJ 08861-2242
Phone
(732) 826-1881
Fax
(732) 826-1108
NPI assigned
Jun 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00133500 NJ Primary

Addresses

Primary practice location

86 New Brunswick Ave
Perth Amboy, NJ 08861-2242

Mailing address

278 Rector St
Perth Amboy, NJ 08861-4435
Phone (732) 826-1023

Other names 1

  • Mrs. Alina Gonzalez Melis Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000354 NJ Practitioner - Physician Assistant 4880730001 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00133500NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Medical Multi Specialty Group PA PastSince Aug 12, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alina.jimenez@direct.hackensackmeridian.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255367587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 RECTOR ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614435",
            "telephone_number": "732-826-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612242",
            "telephone_number": "732-826-1881",
            "fax_number": "732-826-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ALINA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00133500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALINA",
            "last_name": "GONZALEZ MELIS",
            "prefix": "MRS.",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.