Active NPI
Olivia Alexander, RD
- Registered Dietitian
- Hoboken, NJ
National Provider Identifier
1295501799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5135
- Practice address
- 813 Park Ave
Hoboken, NJ 07030-4151 - Phone
- (862) 596-9308
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5135 | MN | Primary |
Addresses
Primary practice location
813 Park Ave
Hoboken, NJ 07030-4151
Mailing address
813 Park Ave
Hoboken, NJ 07030-4151
Phone (862) 596-9308
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5135 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move to Wellness Inc | Dietitian, Registered | Past | Accepting new patients |
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1295501799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 PARK AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304151",
"telephone_number": "862-596-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 PARK AVE",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304151",
"telephone_number": "862-596-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "OLIVIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "5135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.