Individual provider Active NPI

Alena Polesin

  • Specialist
  • Morristown, NJ
National Provider Identifier
1679686893
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07985100 Issued in NJ
Practice address
160 E Hanover Ave
Morristown, NJ 07960-3150
Phone
(973) 538-2334
Fax
(973) 829-9174
NPI assigned
Aug 15, 2006
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07985100 NJ Primary

Addresses

Primary practice location

160 E Hanover Ave
Morristown, NJ 07960-3150

Mailing address

PO Box 1486
Morristown, NJ 07962-1486
Phone (973) 538-2334

Other identifiers 1

IdentifierTypeStateIssuer
223014220OtherNJTAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000384 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Sports MedicinePractitioner - Pain Management 6002858081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management, Sports Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

160 E Hanover Ave
Suite 202
Morristown, NJ 07960-3150
Phone (973) 295-5744

420 Bridge Plaza Dr
Manalapan, NJ 07726-1735
Phone (732) 536-8008

706 Bergen Ave
Suite 2
Jersey City, NJ 07306-4802
Phone (201) 464-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC CurrentSince Jan 20, 2020 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
Hackettstown Anesthesia Associates Past Accepting new patients
Physical Medicine and Rehabilitation Center PA PastSince Jan 1, 2005 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

160 E Hanover Ave
Ste 202
Morristown, NJ 07960
Phone (973) 295-5744

Interoperability endpoints

  • Direct secure messaging: alena.polesin.1@18614.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1679686893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1486",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621486",
            "telephone_number": "973-538-2334",
            "fax_number": "973-829-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HANOVER AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603150",
            "telephone_number": "973-538-2334",
            "fax_number": "973-829-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLESIN",
        "first_name": "ALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07985100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "223014220",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.