Alena Otero, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA053010 Issued in PA

Practice address

1700 Whitehorse Hamilton Square Rd Ste D1
Hamilton Square, NJ 08690-3540

Phone

(609) 890-2600

Fax

(609) 890-1016

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel S. Kessel MD PCGroup PAC ID 9931157484, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Daniel S. Kessel MD PC

  • Dermatology Physician
  • Hamilton Square, NJ
  • NPI 1598056558
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1437336393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD STE D1",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903540",
            "telephone_number": "609-890-2600",
            "fax_number": "609-890-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD STE D1",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903540",
            "telephone_number": "609-890-2600",
            "fax_number": "609-890-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "ALENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "232664784",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Myslinski
• Karl James Natriello, D.C.
• New Jersey Podiatric Physicians and Surgeons Group, LLC
• Nottingham Surgical Services, LLC
• Tanya M Oneill, CRNA
• Gopi Patel, DMD
• Keya Patel, R.D., CNSC
• Pinali Patel, PHARM.D.
• Rachel Peebles, OD
• Susan Persichetti, PT

• Medical Physician Assistant in Hamilton Square, NJ
• Providers in Hamilton Square, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.