Organization Active NPI

Alexa Medical PC

  • Multi-Specialty Clinic/Center
  • Clifton, NJ
National Provider Identifier
1851990642
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ALEXA MEDICAL PC
Practice address
1135 Main Ave
Clifton, NJ 07011-2353
Phone
(973) 988-1499
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Usama Khayyal, MD
Title
President
Phone
(973) 988-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1135 Main Ave
Clifton, NJ 07011-2353

Mailing address

539 Atlantic Ave # 12
Brooklyn, NY 11217-1913
Phone (973) 988-1499

National Provider Directory

National Provider Directory

Locations

539 Atlantic Ave
#12
Brooklyn, NY 11217

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1851990642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 ATLANTIC AVE # 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171913",
            "telephone_number": "973-988-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "973-988-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "KHAYYAL",
        "authorized_official_first_name": "USAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-988-1499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.