Organization Active NPI

Marie Emma B. Alvarez MD LLC

  • Specialist
  • Clifton, NJ
National Provider Identifier
1770987885
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA08158100 Issued in NJ
Legal business name
MARIE EMMA B. ALVAREZ MD LLC
Practice address
1455 Main Ave
First Floor
Clifton, NJ 07011-2127
Phone
(862) 225-9852
Fax
(862) 225-9853
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Dr. Marie Emma Alvarez, MD
Title
Provider
Phone
(862) 225-9852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA08158100 NJ Primary

Addresses

Primary practice location

1455 Main Ave
First Floor
Clifton, NJ 07011-2127

Mailing address

1455 Main Ave
First Floor
Clifton, NJ 07011-2127
Phone (862) 225-9852

Other identifiers 1

IdentifierTypeStateIssuer
0324060MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2086138Marie Emma B Alvarez, MD, LLC1455 Main Avenue, First Floor, Clifton, NJ 07011Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

1455 Main Ave
Fl First
Clifton, NJ 07011
Phone (862) 225-9852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1770987885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MAIN AVE",
            "address_2": "FIRST FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112127",
            "telephone_number": "862-225-9852",
            "fax_number": "862-225-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MAIN AVE",
            "address_2": "FIRST FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112127",
            "telephone_number": "862-225-9852",
            "fax_number": "862-225-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE EMMA B. ALVAREZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MARIE EMMA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "862-225-9852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08158100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324060",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.