NPI 1457020943 · live from the CMS NPI Registry
Lou W Alexandre, P.A.
Physician Assistant in East Orange, NJ. National Provider Identifier 1457020943, active.
NPI record
| NPI | 1457020943 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 60 Evergreen Pl Ste 400, East Orange, NJ 07018 |
| Practice phone | 973-395-1550 |
| Mailing address | 68a Newark Way, Maplewood, NJ 07040 |
| Enumerated | September 8, 2021 |
| Last updated | September 8, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 25MP00640200 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.