Individual provider Active NPI

Alexa Alhout Bezer, DC, LAC

  • Chiropractor
  • Saddle Brook, NJ
National Provider Identifier
1427788983
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00792500 Issued in NJ
Practice address
480 Market St Ste I
Saddle Brook, NJ 07663-5932
Phone
(201) 843-8300
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00160400 NJ
Chiropractor 111N00000X 38MC00792500 NJ Primary

Addresses

Primary practice location

480 Market St Ste I
Saddle Brook, NJ 07663-5932

Mailing address

480 Market St Ste I
Saddle Brook, NJ 07663-5932
Phone (201) 843-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024002927 NJ Practitioner - Chiropractic 5890141071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00792500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Spine and Sports, PC Chiropractor PastSince Nov 21, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1427788983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MARKET ST STE I",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635932",
            "telephone_number": "201-843-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MARKET ST STE I",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635932",
            "telephone_number": "201-843-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZER",
        "first_name": "ALEXA",
        "middle_name": "ALHOUT",
        "name_prefix": "Dr.",
        "credential": "DC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00160400",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00792500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.