Individual provider Active NPI

Alexander Marcus, MD

  • Pediatrics Physician
  • Scituate, MA
National Provider Identifier
1982695102
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
216979 Issued in MA
Practice address
10 New Driftway
Suite 201
Scituate, MA 02066-4530
Phone
(781) 545-9225
Fax
(781) 545-8560
NPI assigned
Nov 4, 2005
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 216979 MA Primary
Pediatrics Physician 208000000X 25MA10862100 NJ

Addresses

Primary practice location

10 New Driftway
Suite 201
Scituate, MA 02066-4530

Mailing address

10 New Driftway
Suite 201
Scituate, MA 02066-4530
Phone (781) 545-9225

Other practice location 1

169 Mine Brook Rd
Bernardsville, NJ 07924-2125
Phone (908) 766-0034

Other practice location 2

745 Route 202/206 Ste 104
Bridgewater, NJ 08807-1758
Phone (908) 722-5444

Other identifiers 4

IdentifierTypeStateIssuer
206711OtherMAHPHC
216979OtherTUFTS
2028450MedicaidMA
J26476OtherMABCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701001064 NJ Practitioner - Pediatric Medicine 9234203050 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10862100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Jun 22, 2024 Accepting new patients
Advocare , LLC CurrentSince Jun 22, 2024 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

169 Mine Brook Rd
Bernardsville, NJ 07924
Phone (908) 221-1132

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: alexander.marcus@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1982695102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEW DRIFTWAY",
            "address_2": "SUITE 201",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664530",
            "telephone_number": "781-545-9225",
            "fax_number": "781-545-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEW DRIFTWAY",
            "address_2": "SUITE 201",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664530",
            "telephone_number": "781-545-9225",
            "fax_number": "781-545-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Mine Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Bernardsville",
            "state": "NJ",
            "postal_code": "079242125",
            "country_code": "US",
            "telephone_number": "908-766-0034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 Route 202/206 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088071758",
            "country_code": "US",
            "telephone_number": "908-722-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "216979",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10862100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "206711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "216979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028450",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J26476",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

Verify at the official NPI Registry.