Individual provider Active NPI

John Hamilton Alexander, LCSW, LCADC

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1700083094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04774900 Issued in NJ
Practice address
777 Passaic Ave
Suite 550
Clifton, NJ 07012-1804
Phone
(973) 815-9920
Fax
(973) 815-9925
NPI assigned
Jun 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04774900 NJ Primary

Addresses

Primary practice location

777 Passaic Ave
Suite 550
Clifton, NJ 07012-1804

Mailing address

245 Academy LN
Manahawkin, NJ 08050-2002
Phone (973) 687-5598

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000159 NJ Practitioner - Clinical Social Worker 3375630874 Practice locations: Clifton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 Passaic Ave
Clifton, NJ 07012-1800
Phone (973) 815-9920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04774900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700083094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ACADEMY LN",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502002",
            "telephone_number": "973-687-5598",
            "fax_number": "973-815-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE",
            "address_2": "SUITE 550",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121804",
            "telephone_number": "973-815-9920",
            "fax_number": "973-815-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JOHN",
        "middle_name": "HAMILTON",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04774900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.