Organization Active NPI

Alexander Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Glenside, PA
National Provider Identifier
1689087991
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006270 Issued in PA
Legal business name
ALEXANDER FOOT CARE
Practice address
805 E Willow Grove Ave Ste 1B
Glenside, PA 19038-7968
Phone
(215) 844-0308
NPI assigned
Jun 4, 2014
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Nekeisha Alexander, DPM
Title
Podiatrist/Owner
Phone
(215) 844-0308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC006270 PA Primary

Addresses

Primary practice location

805 E Willow Grove Ave Ste 1B
Glenside, PA 19038-7968

Mailing address

805 E Willow Grove Ave Ste 1B
Glenside, PA 19038-7968
Phone (215) 844-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140723001595 PA Part B Supplier - Clinic/Group Practice 3375769623 Receives reassigned benefits from 1 practitioner
Practice locations: Wyndmoor, PA
O20200921001802 PA DME Supplier - Physician - Podiatry 3375769623 Practice locations: Wyndmoor, PA

National Provider Directory

National Provider Directory

Locations

6635 Chew Ave
Philadelphia, PA 19119

6635 Chew Ave
#1
Philadelphia, PA 19119
Phone (215) 844-0308

6635 Chew Ave
Fl 1
Philadelphia, PA 19119

805 E Willow Grove Ave
Ste 1B
Wyndmoor, PA 19038
Phone (215) 233-0557

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1689087991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E WILLOW GROVE AVE STE 1B",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387968",
            "telephone_number": "215-844-0308",
            "fax_number": "215-844-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WILLOW GROVE AVE STE 1B",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387968",
            "telephone_number": "215-844-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "NEKEISHA",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "215-844-0308",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.