Individual provider Active NPI

Robert Alexander, MD

  • Pulmonary Disease Physician
  • Denville, NJ
National Provider Identifier
1285688309
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA056847 Issued in NJ
Practice address
16 Pocono Rd
Denville, NJ 07834-2901
Phone
(973) 625-5651
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA056847 NJ Primary

Addresses

Primary practice location

16 Pocono Rd
Denville, NJ 07834-2901

Mailing address

16 Pocono Rd Ste 217
Denville, NJ 07834-2907
Phone (973) 625-1212

Other identifiers 1

IdentifierTypeStateIssuer
5156700MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000473 NJ Practitioner - Internal Medicine 8123202454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trudoc LLCGroup PAC ID 3678989449, 6 clinicians

Practice addresses (Care Compare)

1187 Main Ave
Suite 1F
Clifton, NJ 07011-2252
Phone (973) 928-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA056847NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trudoc LLC Pulmonary Disease CurrentSince Apr 1, 2022 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC Past Accepting new patients
Ankle & Foot Surgery, PA Past Accepting new patients

Locations

1187 Main Ave
Ste 1F
Clifton, NJ 07011
Phone (973) 546-6161

16 Pocono Rd
Ste 217
Denville, NJ 07834
Phone (973) 625-5383

94 Diamond Spring Rd
Ste 2
Denville, NJ 07834
Phone (973) 625-1212

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGCD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1285688309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 217",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342907",
            "telephone_number": "973-625-1212",
            "fax_number": "973-625-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-625-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA056847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5156700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.