Organization Active NPI

Alpha Medical and Wellness LLC

  • Internal Medicine Physician
  • Little Falls, NJ
National Provider Identifier
1295510287
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALPHA MEDICAL AND WELLNESS LLC
Practice address
10 Jacobus Ave
Little Falls, NJ 07424-2305
Phone
(602) 687-0312
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Nawras Aldaoud, MDNPI 1366975641
Title
Owner
Phone
(602) 687-0312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10 Jacobus Ave
Little Falls, NJ 07424-2305

Mailing address

10 Jacobus Ave
Little Falls, NJ 07424-2305
Phone (602) 687-0312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000103 NJ Part B Supplier - Clinic/Group Practice 6901252261 Receives reassigned benefits from 2 practitioners
Practice locations: Little Falls, NJ

National Provider Directory

National Provider Directory

Locations

642 Broad St
Ste 1
Clifton, NJ 07013
Phone (973) 249-1855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1295510287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JACOBUS AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074242305",
            "telephone_number": "602-687-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JACOBUS AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074242305",
            "telephone_number": "602-687-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "ALDAOUD",
        "authorized_official_first_name": "NAWRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-687-0312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.