Provider Demographics
NPI:1801861307
Name:MACAIONE, ALEX S (DO)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:S
Last Name:MACAIONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 WHITE HORSE RD
Mailing Address - Street 2:SUITE C-103
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2461
Mailing Address - Country:US
Mailing Address - Phone:856-627-1900
Mailing Address - Fax:856-627-6907
Practice Address - Street 1:707 WHITE HORSE RD
Practice Address - Street 2:SUITE C-103
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2461
Practice Address - Country:US
Practice Address - Phone:856-627-1900
Practice Address - Fax:856-627-6907
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB21759174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC53960Medicare UPIN
459316ALYMedicare ID - Type Unspecified