Active NPI
Alice Jean Spina, PA-C
- Physician Assistant
- Hackettstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00027800
- Practice address
- 254 Mountain Ave
Building B Suite 102
Hackettstown, NJ 07840-2407 - Phone
- (908) 979-1621
- NPI assigned
- Apr 6, 2013
- Last updated
- Apr 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00027800 | NJ | Primary |
| Physician Assistant | 363A00000X | 004812-1 | NY | |
| Medical Physician Assistant | 363AM0700X | MA-002350-L | PA |
Addresses
Primary practice location
254 Mountain Ave
Building B Suite 102
Hackettstown, NJ 07840-2407
Mailing address
10 Devon Rd
Long Valley, NJ 07853-3233
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00027800 | NJ | MD | Physician Assistant |
| 004812-1 | NY | MD | Physician Assistant |
| MA-002350-L | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| Advocare | Past | Accepting new patients | |
| Lakeview Medical Associates, P.C. | Past | Accepting new patients |
Locations
135 US Highway 46
Ste 2
Budd Lake, NJ 07828
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
Interoperability endpoints
- alice.spina@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
dba Advocare Berlin Medical Associates (DME)
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
dba South Jersey Occupational Medicine
- Occupational Medicine Physician
- Williamstown, NJ
- NPI 1073785655
-
- Family Medicine Physician
- Budd Lake, NJ
- NPI 1730363128
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackettstown, NJ
- NPI 1518969419
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365206400000",
"number": "1760725998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DEVON RD",
"city": "LONG VALLEY",
"state": "NJ",
"postal_code": "078533233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 MOUNTAIN AVE",
"address_2": "BUILDING B SUITE 102",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402407",
"telephone_number": "908-979-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "ALICE",
"middle_name": "JEAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-06",
"last_updated": "2013-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00027800",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004812-1",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA-002350-L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.