Active NPI
Patrick E Alcindor
- Pharmacist
- Fort Lee, NJ
National Provider Identifier
1871763128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041631
- Practice address
- 2175 Hudson Ter Apt 1G
Fort Lee, NJ 07024-7704 - Phone
- (646) 787-6436
- NPI assigned
- Mar 3, 2008
- Last updated
- Aug 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041631 | NY | Primary |
Addresses
Primary practice location
2175 Hudson Ter Apt 1G
Fort Lee, NJ 07024-7704
Mailing address
1441 Broadway Ave
3Rd FLR
New York, NY 10018-6002
Phone (646) 787-6436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041631 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitpal, LLC | Current | Accepting new patients |
Locations
1441 Broadway
Fl 3
New York, NY 10018
Phone (855) 693-4872
Organizations & group practices 1
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": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1871763128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 BROADWAY AVE",
"address_2": "3RD FLR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100186002",
"telephone_number": "646-787-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 HUDSON TER APT 1G",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070247704",
"telephone_number": "646-787-6436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCINDOR",
"first_name": "PATRICK",
"middle_name": "E",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "041631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.