Individual provider Active NPI

Angela M D'Alessandro, MD

  • Pediatric Rehabilitation Medicine Physician
  • Ridgewood, NJ
National Provider Identifier
1619061652
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
25MA07971300 Issued in NJ
Practice address
505 Goffle Rd
Ridgewood, NJ 07450-4027
Phone
(201) 251-3304
Fax
(201) 447-8526
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 25MA07971300 NJ Primary
Pediatric Rehabilitation Medicine Physician 2081P0010X 216981-1 NY

Addresses

Primary practice location

505 Goffle Rd
Ridgewood, NJ 07450-4027

Mailing address

505 Goffle Rd
Ridgewood, NJ 07450-4027
Phone (201) 251-3304

Other identifiers 1

IdentifierTypeStateIssuer
0160962MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080310000227 NY Practitioner - Psychiatry 5890870265 Reassigns benefits to 1 organization
I20160314002263 NJ Practitioner - Pediatric Medicine 5890870265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Howard University College of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
The Center for Discovery IncGroup PAC ID 1557250933, 22 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

606 Old Route 17
Monticello, NY 12701-7013
Phone (845) 707-8400

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07971300NJMDPediatric Rehabilitation Medicine Physician
216981-1NYMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Discovery Inc CurrentSince Nov 30, 2007 Accepting new patients
Valley Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
The Center for Discovery Inc CurrentSince Nov 30, 2007 Accepting new patients

Locations

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

140 E Ridgewood Ave
Ste N475
Paramus, NJ 07652

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

505 Goffle Rd
Ridgewood, NJ 07450
Phone (201) 597-4000

606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400

Interoperability endpoints

  • Direct secure messaging: angela.d.alessandro.2@5622.direct.athenahealth.com

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1619061652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GOFFLE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504027",
            "telephone_number": "201-251-3304",
            "fax_number": "201-447-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GOFFLE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504027",
            "telephone_number": "201-251-3304",
            "fax_number": "201-447-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALESSANDRO",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NJ",
            "license": "25MA07971300",
            "primary": true
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NY",
            "license": "216981-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160962",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.