Individual provider Active NPI

Alexander E Lee, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Englewood Cliffs, NJ
National Provider Identifier
1700089125
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18599 Issued in NJ
Practice address
7 Sylvan Ave
Englewood Cliffs, NJ 07632-2413
Phone
(201) 302-0700
Fax
(201) 302-9857
NPI assigned
Jun 6, 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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18599 NJ Primary

Addresses

Primary practice location

7 Sylvan Ave
Englewood Cliffs, NJ 07632-2413

Mailing address

7 Sylvan Ave
Englewood Cliffs, NJ 07632-2413
Phone (201) 302-0700

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904000010 NJ Practitioner - Oral Surgery 9739498080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Rochester School of Dental Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Team Dental Center PAGroup PAC ID 2365757259, 2 clinicians

Practice addresses (Care Compare)

2515 Hwy 516
Second Floor
Old Bridge, NJ 08857-1881

2515 Hwy 516 2
Old Bridge, NJ 08857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18599NJMDOral and Maxillofacial Surgery (Dentist)
037547NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Team Dental Center PA CurrentSince Jul 26, 2024 Accepting new patients
Advanced Dental Specialty Group Oral and Maxillofacial Surgery Past Accepting new patients

Locations

2515 Highway 516
Fl 2
Old Bridge, NJ 08857

2515 Route 516
Fl Second
Old Bridge, NJ 08857
Phone (732) 679-3600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700089125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322413",
            "telephone_number": "201-302-0700",
            "fax_number": "201-302-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322413",
            "telephone_number": "201-302-0700",
            "fax_number": "201-302-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXANDER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "18599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.