Individual provider Active NPI

Marsha Alexander, D.O

  • Child & Adolescent Psychiatry Physician
  • Commack, NY
National Provider Identifier
1508059056
Registry record updated Aug 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
237852 Issued in NY
Practice address
356 Veterans Memorial Hwy
Suite Number 6
Commack, NY 11725-4343
Phone
(516) 779-3300
NPI assigned
Aug 18, 2007
Last updated
Aug 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 237852 NY Primary

Addresses

Primary practice location

356 Veterans Memorial Hwy
Suite Number 6
Commack, NY 11725-4343

Mailing address

356 Veterans Memorial Hwy
Suite Number 6
Commack, NY 11725-4343
Phone (516) 779-3300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110615000162 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 8123205325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237852NYMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187395200000",
    "number": "1508059056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 VETERANS MEMORIAL HWY",
            "address_2": "SUITE NUMBER 6",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254343",
            "telephone_number": "516-779-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 VETERANS MEMORIAL HWY",
            "address_2": "SUITE NUMBER 6",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254343",
            "telephone_number": "516-779-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MARSHA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2007-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "237852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.