Active NPI
Scott Alenick, MD
- Pediatric Cardiology Physician
- Westwood, NJ
National Provider Identifier
1639138316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- MA58241
- Practice address
- 333 Old Hook Rd
Ste 101
Westwood, NJ 07675-3200 - Phone
- (201) 497-6255
- NPI assigned
- Mar 21, 2006
- Last updated
- Feb 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | MA58241 | NJ | Primary |
| Pediatric Cardiology Physician | 2080P0202X | NY164387 | NY |
Addresses
Primary practice location
333 Old Hook Rd
Ste 101
Westwood, NJ 07675-3200
Mailing address
333 Old Hook Rd
Ste 101
Westwood, NJ 07675-3200
Phone (201) 497-6255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5216001 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA58241 | NJ | MD | Pediatric Cardiology Physician |
| NY164387 | NY | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Services of Elizabeth | Past | Accepting new patients |
Interoperability endpoints
- scottalenickmd.scottalenick@124905.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Cardiology Physician
- Westwood, NJ
- NPI 1366617888
-
- Cardiovascular Disease Physician
- Elizabeth, NJ
- NPI 1235160839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1639138316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 OLD HOOK RD",
"address_2": "STE 101",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753200",
"telephone_number": "201-497-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 OLD HOOK RD",
"address_2": "STE 101",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753200",
"telephone_number": "201-497-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALENICK",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NJ",
"license": "MA58241",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "NY164387",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5216001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.