Individual provider Active NPI

Marie Jocelyne Nicolas Alexandre, MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1598830374
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0066935 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C60268OtherFLUPIN
376219000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
ME0066935FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Perrine, LLC. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

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.

Verify at the official NPI Registry.