Active NPI
Alan Masia, M.D.
- Pediatric Adolescent Medicine Physician
- Lakewood, NJ
National Provider Identifier
1578536264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 146616
- Practice address
- 101 2ND St
Lakewood, NJ 08701-3324 - Phone
- (732) 363-6655
- Fax
- (732) 901-0277
- NPI assigned
- Feb 11, 2006
- Last updated
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 146616 | NY | Primary |
Addresses
Primary practice location
101 2ND St
Lakewood, NJ 08701-3324
Mailing address
101 2ND St
Lakewood, NJ 08701-3324
Phone (732) 363-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146616 | NY | MD | Pediatric Adolescent Medicine Physician |
Interoperability endpoints
- alan.masia@593314999828484.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1578536264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 2ND ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013324",
"telephone_number": "732-363-6655",
"fax_number": "732-901-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 2ND ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013324",
"telephone_number": "732-363-6655",
"fax_number": "732-901-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASIA",
"first_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-11",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "146616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
- Deicy Martinez-Fam, LPC
- Jennifer Martinez, CRNP
- Denise M Martino, RPH
- Maruti Medical, LLC
- Rivka R Marx Rottenberg, MS SPECIAL ED
- Master It Behavior Therapy LLC
- Mastermind Behavior Services
- Mastermind Behavior Services LLC
- Masterson Chiropractic PC (Cross River Mill Chiropractic)
- Edward P Masterson, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.