DR. EDMONTZ ALECTUS (NPI# 1225659022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225659022 |
| Entity Type | Individual |
| Full Name | DR. EDMONTZ ALECTUS |
| Credential | MD |
| Practice Address |
43 Liberty St West Orange NJ 07052-5501 |
| Mailing Address |
43 Liberty Street West Orange NJ 07052 |
| Practice Telephone | 8622916468 |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 26NP06961300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
43 LIBERTY ST |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851706212 | Rickie Dugal | General Practice | 6 Baxter Ln, West Orange, NJ 07052-1429 | 2014-06-24 |
| 1194045914 | Care Station Medical Group, Pa | General Practice | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406010 | Nurse Practitioner Affiliates LLC | General Practice | 1608 Route 88 Ste 301, Brick, NJ 08724-3009 | 2020-10-28 |
| 1609482926 | Hunterdon Primary Care PC | General Practice | 200 Route 31 Ste 105, Flemington, NJ 08822-5812 | 2020-09-22 |
| 1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
| 1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| 1427605575 | Millstone Concierge Physicians | General Practice | 308 Sweetmans Ln, Millstone Township, NJ 08535-8116 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
Please comment or provide details below to improve the information on DR. EDMONTZ ALECTUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.