Individual provider Active NPI

Alexis Lavarez

  • Family Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1942190327
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15303200 Issued in NJ
Practice address
2130 Apollo Dr Apt 9B
Ocean, NJ 07712-2419
Phone
(732) 272-7218
NPI assigned
Jul 7, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15303200 NJ Primary

Addresses

Primary practice location

2130 Apollo Dr Apt 9B
Ocean, NJ 07712-2419

Mailing address

2130 Apollo Dr Apt 9B
Ocean, NJ 07712-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000792 NJ Practitioner - Nurse Practitioner 3779073259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chronic Care Specialists of NJ PCGroup PAC ID 0547778995, 7 clinicians

Practice addresses (Care Compare)

100 W Magnolia Ave
Maywood, NJ 07607-1121
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15303200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chronic Care Specialists of NJ PC CurrentSince Jan 24, 2026 Accepting new patients
Great Health Medical New Jersey PC CurrentSince Aug 23, 2025 Accepting new patients

Locations

101 Chase Ave
Ste 105
Lakewood, NJ 08701

100 W Magnolia Ave
Maywood, NJ 07607
Phone (201) 373-8300

407 Willoughby Ave
Brooklyn, NY 11205

Organizations & group practices 2

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1942190327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 APOLLO DR APT 9B",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077122419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 APOLLO DR APT 9B",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077122419",
            "telephone_number": "732-272-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAREZ",
        "first_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15303200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.