Active NPI
Marie Jocelyne Nicolas Alexandre, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1598830374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0066935
- Practice address
- 12376 Quail Roost Dr
Miami, FL 33177-4974 - Phone
- (786) 623-0994
- Fax
- (786) 430-8197
- NPI assigned
- Nov 21, 2006
- Last updated
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0066935 | FL | Primary |
Addresses
Primary practice location
12376 Quail Roost Dr
Miami, FL 33177-4974
Mailing address
6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333
Other practice location 1
9750 SW 24th St
Miami, FL 33165-7598
Phone (786) 456-9005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C60268 | Other | FL | UPIN |
| 376219000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marie.nicolasalexandre@cmg.eclinicaldirectplus.com | Other |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066935 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Group of Perrine, LLC. | Past | Accepting new patients |
Interoperability endpoints
- marie.nicolasalexandre@cmg.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Medical Group
- Family Medicine Physician
- Miami, FL
- NPI 1578845129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1598830374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 BLUE LAGOON DR STE 365",
"city": "MIAMI",
"state": "FL",
"postal_code": "331267010",
"telephone_number": "786-322-7333",
"fax_number": "786-322-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12376 QUAIL ROOST DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331774974",
"telephone_number": "786-623-0994",
"fax_number": "786-430-8197"
}
],
"practiceLocations": [
{
"address_1": "9750 SW 24th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331657598",
"country_code": "US",
"telephone_number": "786-456-9005",
"fax_number": "786-456-9003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICOLAS ALEXANDRE",
"first_name": "MARIE",
"middle_name": "JOCELYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0066935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "C60268",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376219000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marie.nicolasalexandre@cmg.eclinicaldirectplus.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Health information has changed",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "12376 Quail Roost Dr",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331774974",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
- Nicklaus Children's Pediatric Specialists, LLC (Nicklaus Children's Pediatric Specialists - Infectious Disease)
- Nicklaus Children's Pediatric Specialists, LLC (Nicklaus Children's Pediatric Specialists - Plastic Surgery)
- Nicklaus Children's Pediatric Specialists, LLC (Nicklaus Children's Pediatric Specialists - Ophthalmology)
- Sarah Nickle, MD
- Rosa Nicola
- Daphkar Nicolas
- Marie Manouchka Nicolas, ARNP
- Meryl Lauren Nicolas
- Myrthene Nicolas, APRN
- Pierre Philippe Nicolas, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.