Active NPI
Alexa Medical PC
- Multi-Specialty Clinic/Center
- Clifton, NJ
National Provider Identifier
1851990642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.