NPIMap

Individual provider Active NPI

Alexander M Swan, MD

  • Nephrology Physician
  • Avenel, NJ
National Provider Identifier
1346218856
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA06815000 Issued in NJ
Practice address
1030 Saint Georges Ave Ste LL-1
Avenel, NJ 07001-1390
Phone
(732) 750-5555
Fax
(732) 750-5550
NPI assigned
Mar 9, 2006
Last updated
Oct 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA06815000 NJ Primary

Addresses

Primary practice location

1030 Saint Georges Ave Ste LL-1
Avenel, NJ 07001-1390

Mailing address

1030 Saint Georges Ave Ste LL-1
Avenel, NJ 07001-1390
Phone (732) 750-5555

Other identifiers 1

IdentifierTypeStateIssuer
8974004MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041028000035 NJ Practitioner - Internal MedicinePractitioner - Nephrology 2567423478 Reassigns benefits to 3 organizations
I20220318000165 NY Practitioner - Internal Medicine 2567423478 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sai Medical Services, LLCGroup PAC ID 8921284530, 3 clinicians

Practice addresses (Care Compare)

1030 Saint Georges Ave
LL1
Avenel, NJ 07001-1390
Phone (732) 750-5555

162 Main St
Metuchen, NJ 08840-2776
Phone (732) 494-8100

916 Main Ave
Suite 2B
Passaic, NJ 07055-8545
Phone (882) 249-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06815000NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Medical Services, LLC CurrentSince Jan 1, 2015 Accepting new patients
Nephrology Hypertension Renal Transplant & Renal Therapy, LLC Nephrology CurrentSince Jul 1, 2001 Accepting new patients
Swan Medical Care PC CurrentSince Jul 17, 2022 Accepting new patients
Lifescan Diagnostics PC Past Accepting new patients
Peritonial Dialysis on North America,LLC Nephrology Past Accepting new patients
The Eecp Center of North America,LLC Nephrology Past Accepting new patients

Locations

1030 Saint Georges Ave
#1
Avenel, NJ 07001
Phone (732) 750-5555

1030 Saint Georges Ave
Lowr
Avenel, NJ 07001
Phone (732) 634-2277

162 Main St
Metuchen, NJ 08840
Phone (732) 253-0821

916 Main Ave
Ste 2B
Passaic, NJ 07055
Phone (862) 249-1010

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_nhrtrt

Organizations & group practices 8

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 5

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1346218856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE STE LL-1",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-750-5555",
            "fax_number": "732-750-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE STE LL-1",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-750-5555",
            "fax_number": "732-750-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "ALEXANDER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06815000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.