Frederick Alexander, M.D.
Individual provider Active NPI Pediatric Surgery Physician · Paramus, NJ
NPI 1982773545 · NPPES record last updated Nov 3, 2015
Key facts
- NPI
- 1982773545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Surgery Physician 2086S0120X
- License
- 25MA08195900 (NJ)
- Practice address
- 140 Route 17 North
Suite 321
Paramus, NJ 07652 - Phone
- (201) 225-9700
- Fax
- (201) 225-0031
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070221000353 | NJ | Practitioner - General Surgery | 8123038825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35062565A | OH | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current |
Accepting new patients | |
| Hackensack Specialty Care Associates, PC | Pediatric Surgery | Past | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past |
Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
140 N State Rt 17
Ste 321
Paramus, NJ 07652
Phone (201) 225-9700
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
Interoperability endpoints
- frederick.alexander.1@5622.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 35062565A | OH | |
| Pediatric Surgery Physician | 2086S0120X | 25MA08195900 | NJ | Yes |
Addresses
Primary practice location
140 Route 17 North
Suite 321
Paramus, NJ 07652
Mailing address
140 Route 17 North
Suite 321
Paramus, NJ 07652
Phone (201) 225-9700
Other providers in Paramus, NJ
- Danielle Albert
- Lauren Alberta
- Felocelia Deladisma Alcid
- Jason Alejandro
- Aleks Gilels DPM PC
- Tintu Alexander
- Emran Ali
- Fahad Ali
- Alicia Bernarducci, LCSW
- Align Family Chiropractic and Wellness
All providers in Paramus, NJ · Pediatric Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.