Individual provider Active NPI

Alectis R Santiago, MD

  • Obstetrics & Gynecology Physician
  • Princeton, NJ
National Provider Identifier
1447397898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA02702800 Issued in NJ
Practice address
601 Ewing St
Suite A4
Princeton, NJ 08540-2757
Phone
(609) 921-1500
Fax
(609) 497-1444
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA02702800 NJ Primary

Addresses

Primary practice location

601 Ewing St
Suite A4
Princeton, NJ 08540-2757

Mailing address

601 Ewing St
Suite A4
Princeton, NJ 08540-2757
Phone (609) 921-1500

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000996 NJ Practitioner - Obstetrics/Gynecology 3476737040 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians CurrentSince Feb 1, 2011 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 1, 2011 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Dr. Luc J Lemmerling Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

601 Ewing St
Ste A3
Princeton, NJ 08540
Phone (609) 921-1500

601 Ewing St
Ste C13
Princeton, NJ 08540
Phone (609) 924-5242

601 Ewing St
Ste A4
Princeton, NJ 08540
Phone (609) 921-1500

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Organizations & group practices 4

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447397898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "SUITE A4",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-921-1500",
            "fax_number": "609-497-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "SUITE A4",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-921-1500",
            "fax_number": "609-497-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ALECTIS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA02702800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.