Alex R Pavon MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA07135200 Issued in NJ

Legal business name

ALEX R PAVON MD PC

Practice address

106 W Palisade Ave
Suite 101
Englewood, NJ 07631-2633

Phone

(201) 503-1000

Fax

(201) 568-4300

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Alex Rodrigo Pavon, M.D.NPI 1700819208

Title

Owner

Phone

(201) 503-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Alex R Pavon, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1700819208

  NJ

  Medicare reassignment NPD Authorized official
• Marietta Dublin-Pavon, NP

  • Family Nurse Practitioner
  • Englewood, NJ
  • NPI 1437585312
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1407028657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5917",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076315917",
            "telephone_number": "201-568-6200",
            "fax_number": "201-568-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W PALISADE AVE",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312633",
            "telephone_number": "201-503-1000",
            "fax_number": "201-568-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX R PAVON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "PAVON",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "RODRIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-503-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07135200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mimi Akpo
• Alan D. Lerner, LCSW, LLC
• Sandra Alarcon
• Yaser Albataineh, MD
• Ruth Esther Alejandro, MD
• Jeffrey Spencer Alexander, PHARMACIST
• Ali Sherzoy MD LLC
• Justin Ali
• Luthfa Ali
• Align Chiropractic and Wellness LLC

• Primary Care Clinic/Center in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.