Individual provider Active NPI

Paul J Alessi, DO

  • Internal Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1942208046
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14054 Issued in NH
Practice address
457 Haddonfield Road
Suite D1
Cherry Hill, NJ 08002
Phone
(856) 406-4091
Fax
(856) 406-4570
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB03567400 NJ
Internal Medicine Physician 207R00000X LT-2676 NH
Internal Medicine Physician 207R00000X T-0332 NH
Internal Medicine Physician 207R00000X 14054 NH Primary

Addresses

Primary practice location

457 Haddonfield Road
Suite D1
Cherry Hill, NJ 08002

Mailing address

457 Haddonfield Rd
Suite D1
Cherry Hill, NJ 08002-2220
Phone (856) 406-4091

Other identifiers 2

IdentifierTypeStateIssuer
30226389MedicaidNH
1519107MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20191107001453 ME Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5193785947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-0332NHMDInternal Medicine Physician
25MB03567400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkland Physician Services, Inc. Past Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine PastSince Jun 15, 2021 Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C PastSince Sep 15, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1942208046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 HADDONFIELD RD",
            "address_2": "SUITE D1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022220",
            "telephone_number": "856-406-4091",
            "fax_number": "856-406-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 HADDONFIELD ROAD",
            "address_2": "SUITE D1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002",
            "telephone_number": "856-406-4091",
            "fax_number": "856-406-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESSI",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB03567400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "LT-2676",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "T-0332",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "14054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30226389",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.