Organization Active NPI

Alpha Medical Group Inc

  • Physiological Laboratory
  • Mahwah, NJ
National Provider Identifier
1972838175
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ALPHA MEDICAL GROUP INC
Practice address
743 Pepperidge Rd
Mahwah, NJ 07430-3452
Phone
(201) 399-2217
NPI assigned
Oct 6, 2009
Last updated
Feb 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Andrey Milvidskiy
Title
President
Phone
(201) 696-0926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

743 Pepperidge Rd
Mahwah, NJ 07430-3452

Mailing address

743 Pepperidge Rd
Mahwah, NJ 07430-3452
Phone (201) 399-2217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1972838175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 PEPPERIDGE RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303452",
            "telephone_number": "201-399-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 PEPPERIDGE RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303452",
            "telephone_number": "201-399-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "MILVIDSKIY",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-696-0926"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.