Provider Demographics
NPI:1174511059
Name:ALEXESCU, ADINA N (MD)
Entity Type:Individual
Prefix:DR
First Name:ADINA
Middle Name:N
Last Name:ALEXESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 E WESTFIELD AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2428
Mailing Address - Country:US
Mailing Address - Phone:908-241-8141
Mailing Address - Fax:908-241-8186
Practice Address - Street 1:443 E WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2428
Practice Address - Country:US
Practice Address - Phone:908-241-8141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06229100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6670806Medicaid
NJ6670806Medicaid
NJ539765ZV2RMedicare PIN