Provider Demographics
NPI:1548536451
Name:WARD, ALEXANDRA E (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:E
Last Name:WARD
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 1:377 JERSEY AVE STE 450
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4397
Mailing Address - Country:US
Mailing Address - Phone:201-915-2525
Mailing Address - Fax:201-499-7651
Practice Address - Street 1:377 JERSEY AVE STE 450
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4397
Practice Address - Country:US
Practice Address - Phone:201-915-2525
Practice Address - Fax:201-499-7651
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457355207R00000X
VA0101266988207RC0000X
390200000X
NJ25MA12456400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program