Healthcare Provider Details
I. General information
NPI: 1649366956
Provider Name (Legal Business Name): JAMES B ALEXANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/05/2006
Last Update Date: 04/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 COOPER PLZ SUITE 411
CAMDEN NJ
08103-1438
US
IV. Provider business mailing address
3 COOPER PLZ SUITE 502
CAMDEN NJ
08103-1438
US
V. Phone/Fax
- Phone: 856-342-3412
- Fax: 856-365-1180
- Phone: 856-963-6888
- Fax: 856-968-8499
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | MA42279 |
| License Number State | NJ |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | JS258 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | OXFORD |
| # 2 | |
| Identifier | 0092659 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | CIGNA |
| # 3 | |
| Identifier | 0109623000 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AMERIHEALTH/KEYSTONE/IBC |
| # 4 | |
| Identifier | 0156400 |
| Identifier Type | MEDICAID |
| Identifier State | NJ |
| Identifier Issuer | |
| # 5 | |
| Identifier | CA000006700 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AMERICHOICE |
| # 6 | |
| Identifier | 1010192 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | HORIZON NJ HEALTH |
| # 7 | |
| Identifier | 35229 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AETNA |
| # 8 | |
| Identifier | 506685 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | PA BS HIGHMARK |
| # 9 | |
| Identifier | 887264 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | PA BS/IBC |
| # 10 | |
| Identifier | 25942 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | UNIVERISTY HEALTH PLAN |
| # 11 | |
| Identifier | 3K6098 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | HEALTHNET |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
