Provider Demographics
NPI:1972508240
Name:ALEXANDER, NICHOLAS
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FRANKLIN TPKE
Mailing Address - Street 2:STE 100
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-3517
Mailing Address - Country:US
Mailing Address - Phone:201-818-4344
Mailing Address - Fax:201-818-2710
Practice Address - Street 1:400 FRANKLIN TPKE
Practice Address - Street 2:STE 100
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-3517
Practice Address - Country:US
Practice Address - Phone:201-818-4344
Practice Address - Fax:201-818-2710
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA53478207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1199840001Medicare NSC
NJF02920Medicare UPIN