Alexander Medakovich, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

154421 Issued in NY

Practice address

140 Old Orangeburg Rd
Building 57
Orangeburg, NY 10962-1157

Phone

(845) 359-8500

Fax

(845) 680-8419

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: medako01@hiemail.healtheconnections.org

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.

• Re Blaisdell Addiction Treatment Center

  • Community/Behavioral Health Agency
  • Orangeburg, NY
  • NPI 1366526105
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1467587923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MAIN ST",
            "address_2": "APT. 436",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440023",
            "telephone_number": "212-750-2338",
            "fax_number": "212-750-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "address_2": "BUILDING 57",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-359-8500",
            "fax_number": "845-680-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDAKOVICH",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "154421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina McDonald Haggarty
• Stacey McElroy
• Florence Sealtine McIntyre
• Vanessa Jean McKay, L.AC.
• Emily McLean, RN
• Mediquipment Inc.
• Samantha Meehan
• Cladia S Mendoza
• Meridan Health Supply Corp
• Meridian Health Supply Corp.

• Internal Medicine Physician in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.