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

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.

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 (2 clinicians)

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 IDStateProvider typePAC IDDetails
I20110427000628 NY Practitioner - Chiropractic 7214943232 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
009459NYMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7056094OtherNYAETNA
P010009459OtherNYBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 10, 2025.

{
    "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

All providers in Williamson, NY · Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.