Active NPI
Alexander Charles Small, MD
- Urology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 297515
- Practice address
- 1250 Waters Place
Montefiore Dept of Urology, Tower 2, 9TH Floor
Bronx, NY 10461 - Phone
- (718) 920-4531
- NPI assigned
- Mar 27, 2013
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 297515 | NY | Primary |
Addresses
Primary practice location
1250 Waters Place
Montefiore Dept of Urology, Tower 2, 9TH Floor
Bronx, NY 10461
Mailing address
1250 Waters Place
Montefiore Dept of Urology, Tower 1, Penthouse
Bronx, NY 10461
Phone (718) 920-4531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Urology
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297515 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Urology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Urology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1250 Waters Pl
Ph 1
Bronx, NY 10461
Phone (718) 238-4444
1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
1250 Waters Pl
Bldg 2
Bronx, NY 10461
Phone (718) 920-4531
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- asmall989969@nychhc.direct-ci.com
- alesmall@montefioredirect.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
Urology
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1255674347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 WATERS PLACE",
"address_2": "MONTEFIORE DEPT OF UROLOGY, TOWER 1, PENTHOUSE",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-920-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 WATERS PLACE",
"address_2": "MONTEFIORE DEPT OF UROLOGY, TOWER 2, 9TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-920-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "ALEXANDER",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2023-03-28",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "297515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.