Individual provider Active NPI

Alexander John Loeb, DDS

  • Periodontics
  • Wyckoff, NJ
National Provider Identifier
1568096477
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02900900 Issued in NJ
Practice address
385 Clinton Ave
Wyckoff, NJ 07481-1934
Phone
(201) 891-6270
NPI assigned
Feb 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22DI02900900 NJ Primary

Addresses

Primary practice location

385 Clinton Ave
Wyckoff, NJ 07481-1934

Mailing address

223 Rogers Druve
Scarsdale, NY 10583-6711
Phone (914) 424-5101

Other practice location 1

91 East Ave
Norwalk, CT 06851-5020
Phone (914) 424-5101

Other practice location 2

850 Bronx River Rd
Yonkers, NY 10708-7013
Phone (914) 776-1122

Other practice location 3

680 Kinderkamack Rd Ste 202
Oradell, NJ 07649-1600
Phone (201) 634-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02900900NJMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Periodontics Group PLLC Periodontics CurrentSince Aug 28, 2022 Accepting new patients
Geller Family Dental Past Accepting new patients

Organizations & group practices 2

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": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1568096477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROGERS DRUVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836711",
            "telephone_number": "914-424-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CLINTON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811934",
            "telephone_number": "201-891-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 East Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515020",
            "country_code": "US",
            "telephone_number": "914-424-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Bronx River Rd",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107087013",
            "country_code": "US",
            "telephone_number": "914-776-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Kinderkamack Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491600",
            "country_code": "US",
            "telephone_number": "201-634-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEB",
        "first_name": "ALEXANDER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-29",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02900900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.