Individual provider Active NPI

Alexandra Grace Cantelmo, VMD

  • General Practice Physician
  • Hamilton, NJ
National Provider Identifier
1932742533
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
29VI00676600 Issued in NJ
Practice address
170 Marketplace Blvd
Hamilton, NJ 08691-2103
Phone
(609) 581-4552
NPI assigned
Oct 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 29VI00676600 NJ Primary

Addresses

Primary practice location

170 Marketplace Blvd
Hamilton, NJ 08691-2103

Mailing address

10 Bovanko Rd
Cream Ridge, NJ 08514-2445

Other identifiers 1

IdentifierTypeStateIssuer
29VI00676600OtherNJNJ VETERINARY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandra.g.cantelmo@gmai.com

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

LicenseStateTypeSpecialty
29VI00676600NJMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1932742533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOVANKO RD",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MARKETPLACE BLVD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912103",
            "telephone_number": "609-581-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTELMO",
        "first_name": "ALEXANDRA",
        "middle_name": "GRACE",
        "credential": "VMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "29VI00676600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ VETERINARY LICENSE",
            "identifier": "29VI00676600",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.g.cantelmo@gmai.com",
            "affiliation": "N",
            "address_1": "170 Marketplace Blvd",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086912103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; 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.