Organization Active NPI

Mahwah Valley Orthopedic Associates

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Mahwah, NJ
National Provider Identifier
1326211509
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MA53478 Issued in NJ
Legal business name
MAHWAH VALLEY ORTHOPEDIC ASSOCIATES
Practice address
400 Franklin Tpke
Ste 100
Mahwah, NJ 07430-3516
Phone
(201) 818-4344
Fax
(201) 818-2710
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Nicholas Alexander, M.D.NPI 1972508240
Title
President
Phone
(201) 818-4344

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
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MA53478 NJ Primary

Addresses

Primary practice location

400 Franklin Tpke
Ste 100
Mahwah, NJ 07430-3516

Mailing address

400 Franklin Tpke
Ste 100
Mahwah, NJ 07430-3516
Phone (201) 818-4344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000132 NJ Part B Supplier - Clinic/Group Practice 3779733381 Receives reassigned benefits from 1 practitioner
Practice locations: Mahwah, NJ

National Provider Directory

National Provider Directory

Locations

400 Franklin Tpke
Ste 100
Mahwah, NJ 07430
Phone (201) 818-4344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1326211509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN TPKE",
            "address_2": "STE 100",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303516",
            "telephone_number": "201-818-4344",
            "fax_number": "201-818-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN TPKE",
            "address_2": "STE 100",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303516",
            "telephone_number": "201-818-4344",
            "fax_number": "201-818-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHWAH VALLEY ORTHOPEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-818-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA53478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.