MEDICARE: EDWARD ALEXEEV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	25MA09911400	NJ

General Provider Information

NPI Number	:	1588911226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD ALEXEEV

Provider Business Mailing Address
First Line	:	PO BOX 22239
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-0001
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:	702-977-1496

Provider Business Practice Location Address
First Line	:	1750 ROUTE 37 W
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08757-2345
Country	:	US
Telephone Number	:	872-231-3162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2012
Last Update Date	:	11/12/2025

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Directions to “ EDWARD ALEXEEV ” Practice Location

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