Individual provider Active NPI

Alessandra Baggitt, PA-C

  • Physician Assistant
  • Cresskill, NJ
National Provider Identifier
1306629456
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00801800 Issued in NJ
Practice address
46 Union Ave
Cresskill, NJ 07626-2125
Phone
(201) 205-2172
NPI assigned
Aug 14, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00801800 NJ Primary

Addresses

Primary practice location

46 Union Ave
Cresskill, NJ 07626-2125

Mailing address

623 Willow Ave Apt 4
Hoboken, NJ 07030-3934
Phone (908) 797-4886

Other practice location 1

35 Ackerman Ave
Clifton, NJ 07011-1501
Phone (973) 928-2880

Other identifiers 1

IdentifierTypeStateIssuer
0950084MedicaidNJ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231123000112 NJ Practitioner - Physician Assistant 1456709849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
Desjet LLCGroup PAC ID 7618263450, 6 clinicians
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

46 Union Ave
Cresskill, NJ 07626-2125
Phone (201) 205-2172

703 Main St
Paterson, NJ 07503-2621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desjet LLC CurrentSince Jul 24, 2025 Accepting new patients

Locations

230 Broad St
Ste 1
Bloomfield, NJ 07003
Phone (201) 983-4060

35 Ackerman Ave
Clifton, NJ 07011
Phone (973) 519-5070

46 Union Ave
Cresskill, NJ 07626
Phone (201) 205-2172

46 Union Ave
#A
Cresskill, NJ 07626
Phone (201) 399-7695

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1306629456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 WILLOW AVE APT 4",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303934",
            "telephone_number": "908-797-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 UNION AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262125",
            "telephone_number": "201-205-2172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Ackerman Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070111501",
            "country_code": "US",
            "telephone_number": "973-928-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGGITT",
        "first_name": "ALESSANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00801800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0950084",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresskill, NJ

Sources for this page

Verify at the official NPI Registry.