Alexandre S Ackad, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA2626300 Issued in NJ

Practice address

44 Godwin Ave
Suite 301
Midland Park, NJ 07432-1969

Phone

(201) 447-0013

Fax

(201) 447-0438

NPI assigned

Nov 1, 2005

Last updated

Dec 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexandre.ackad.1@24719.direct.athenahealth.com

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.

• Bergen Hypertension & Renal Assoc

  • Nephrology Physician
  • Paramus, NJ
  • NPI 1023152980
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1649261454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "address_2": "SUITE 301",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-447-0013",
            "fax_number": "201-447-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "address_2": "SUITE 301",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-447-0013",
            "fax_number": "201-447-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKAD",
        "first_name": "ALEXANDRE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA2626300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frishta Abawi, DO
• Abilities Network LLC (Abilities Therapy Network)
• Above and Beyond Holistic Wellness Center LLC
• Acme Markets Inc (Acme Pharmacy #1054)
• Acme Markets Inc (Acme Pharmacy #1054)
• Deborah Martha Adams, RD
• Ricardo F Africa
• Saurabh Agarwal, MD

• Nephrology Physician in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.