Matthew William Alexander, D.C.
Individual provider Active NPI Chiropractor · Williamson, NY
NPI 1679628515 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1679628515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 009459 (NY)
- Practice address
- 3800 Railroad Ave
Williamson, NY 14589-9340 - Phone
- (315) 589-9221
- Fax
- (888) 505-5758
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apple Country Chiropractic, PC
Practice addresses (Care Compare)
3800 Railroad Ave
Williamson, NY 14589-9340
Phone (315) 589-9221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110427000628 | NY | Practitioner - Chiropractic | 7214943232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009459 | NY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 009459 | NY | Yes |
Addresses
Primary practice location
3800 Railroad Ave
Williamson, NY 14589-9340
Mailing address
3800 Railroad Ave
P.O. Box 162
Williamson, NY 14589-9340
Phone (315) 589-9221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7056094 | Other | NY | AETNA |
| P010009459 | Other | NY | BLUE CROSS BLUE SHIELD |
NPI Registry JSON
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1679628515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 RAILROAD AVE",
"address_2": "P.O. BOX 162",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899340",
"telephone_number": "315-589-9221",
"fax_number": "888-505-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RAILROAD AVE",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899340",
"telephone_number": "315-589-9221",
"fax_number": "888-505-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "MATTHEW",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "009459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7056094",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P010009459",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.