NPIMap

Individual provider Active NPI

Alexander Kolessa, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1902009459
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA08471100 Issued in NJ
Practice address
44 Monroe St
# A24
New York, NY 10002-7701
Phone
(732) 425-3564
NPI assigned
Jun 11, 2007
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD434982 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 254294-1 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA08471100 NJ Primary

Addresses

Primary practice location

44 Monroe St
# A24
New York, NY 10002-7701

Mailing address

465 Hillcrest Rd
# A24
Ridgewood, NJ 07450-1520
Phone (732) 425-3564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100819000209 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890829352 Reassigns benefits to 2 organizations
I20200714000932 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890829352 Reassigns benefits to 2 organizations
Practice locations: Ridgewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

360 Essex St
Suite 401
Hackensack, NJ 07601-8566
Phone (551) 996-1140

44 Monroe St
A24
New York, NY 10002-7701
Phone (732) 425-3564

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue90
Removal of skin lesions25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08471100NJMDGeriatric Medicine (Internal Medicine) Physician
254294-1NYMDGeriatric Medicine (Internal Medicine) Physician
MD434982PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Oct 15, 2019 Accepting new patients
Alexander Kolessa Medical P.C. CurrentSince Aug 8, 2021 Accepting new patients
Active Aging Medical P.C. Geriatric Medicine CurrentSince Mar 11, 2015 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 14, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Geriatric Medicine CurrentSince Feb 14, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Geriatric Medicine CurrentSince Jan 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Oct 15, 2019 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients
Active Aging Medical Group Inc Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686

360 Essex St
Ste 401
Hackensack, NJ 07601
Phone (551) 996-1140

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

227 Madison St
New York, NY 10002
Phone (212) 238-7000

244 5th Ave
#200
New York, NY 10001
Phone (888) 999-8689

44 Monroe St
#A24
New York, NY 10002
Phone (732) 425-3564

50 Water St
Fl 3
New York, NY 10004

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 10

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1902009459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 HILLCREST RD",
            "address_2": "# A24",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501520",
            "telephone_number": "732-425-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MONROE ST",
            "address_2": "# A24",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027701",
            "telephone_number": "732-425-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESSA",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD434982",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "254294-1",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08471100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.