1649366956 NPI number — JAMES B ALEXANDER MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649366956 NPI number — JAMES B ALEXANDER MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ALEXANDER

Provider First Name:

JAMES

Provider Middle Name:

B

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1649366956

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/22/2016

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

3 COOPER PLZ

Provider Second Line Business Mailing Address:

SUITE 502

Provider Business Mailing Address City Name:

CAMDEN

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

08103-1438

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

856-963-6888

Provider Business Mailing Address Fax Number:

856-968-8499

Provider First Line Business Practice Location Address:

3 COOPER PLZ

Provider Second Line Business Practice Location Address:

SUITE 411

Provider Business Practice Location Address City Name:

CAMDEN

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

08103-1438

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

856-342-3412

Provider Business Practice Location Address Fax Number:

856-365-1180

Provider Enumeration Date:

10/05/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2086S0129X , with the licence number:  MA42279 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: JS258 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 0092659 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 0109623000 . This is a "AMERIHEALTH/KEYSTONE/IBC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 0156400 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
• Identifier: CA000006700 . This is a "AMERICHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 1010192 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 35229 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 506685 . This is a "PA BS HIGHMARK" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 887264 . This is a "PA BS/IBC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 25942 . This is a "UNIVERISTY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 3K6098 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".