Organization Active NPI

Alejandro Presilla

  • Exclusive Provider Organization
  • Union City, NJ
National Provider Identifier
1699197202
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
25MA03546100 Issued in NJ
Legal business name
ALEJANDRO PRESILLA
Practice address
322 49TH St
Union City, NJ 07087-5278
Phone
(201) 863-8667
Fax
(201) 863-0444
NPI assigned
Jan 16, 2014
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Alejandro Presilla, MDNPI 1902835747
Title
Doctor
Phone
(201) 863-8667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 25MA03546100 NJ Primary

Addresses

Primary practice location

322 49TH St
Union City, NJ 07087-5278

Mailing address

322 49TH St
Union City, NJ 07087-5278
Phone (201) 863-8667

Other identifiers 2

IdentifierTypeStateIssuer
10664109OtherCAQH
3624803MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1699197202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 49TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875278",
            "telephone_number": "201-863-8667",
            "fax_number": "201-863-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 49TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875278",
            "telephone_number": "201-863-8667",
            "fax_number": "201-863-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO PRESILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "PRESILLA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-863-8667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "25MA03546100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10664109",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3624803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.