Alphonsus Doerr Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA06799100 Issued in NJ

Practice address

914 Clifton Ave
Clifton, NJ 07013-2708

Phone

(973) 458-1788

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Allwood Imaging, P.a.

  • Specialist
  • Clifton, NJ
  • NPI 1578787784
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295780096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132708",
            "telephone_number": "973-458-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132708",
            "telephone_number": "973-458-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "ALPHONSUS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA06799100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Distefano
• Ditmas Applied Behvior Analysis PLLC
• Duy T DO, DMD
• Yoomi DO
• Michael Craig Dobrow, DO
• John J Doerr, M.D.
• Husniye Dogan, D.D.S
• Edward L Doktorman, DDS
• Domingo Yang Jr MD PC
• Anthony Dominguez

• Plastic Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.