Individual provider Active NPI

Robert Alexander, DO

  • Internal Medicine Physician
  • Massapequa, NY
National Provider Identifier
1912956301
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207736 Issued in NY
Practice address
896 N Broadway
Massapequa, NY 11758-2328
Phone
(516) 541-2233
NPI assigned
May 10, 2006
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207736 NY Primary

Addresses

Primary practice location

896 N Broadway
Massapequa, NY 11758-2328

Mailing address

850 Hicksville Rd Ste 104
Seaford, NY 11783-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622001205 NY Practitioner - Internal Medicine 5890770945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwell Healthcare IncGroup PAC ID 3971531039, 17 clinicians

Practice addresses (Care Compare)

896 N Broadway
Massapequa, NY 11758-2328
Phone (516) 541-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Healthcare Internal Medicine CurrentSince Jan 10, 2011 Accepting new patients
Massapequa Internal Medicine Associates PC Current Accepting new patients
North Shore Long Island Jewish Health Care Inc Internal Medicine CurrentSince Jan 10, 2011 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

896 N Broadway
North Massapequa, NY 11758
Phone (516) 541-2233

27005 76th Ave
North New Hyde Pk, NY 11040

850 Hicksville Rd
Seaford, NY 11783
Phone (516) 798-0141

850 Hicksville Rd
Ste 104
Seaford, NY 11783
Phone (516) 798-0141

850 Hicksville Rd
Ste 110
Seaford, NY 11783
Phone (516) 735-5454

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1912956301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD STE 104",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582328",
            "telephone_number": "516-541-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.