Active NPIIndividual providerSole proprietor

Alexandra Badie, PHYSICIAN ASSISTANT

Physician Assistant, Surgical in Glen Ridge, New Jersey

NPI Number1194497198
Practice location
311 Bay Ave Ste 20, Glen Ridge, NJ 07028-1607
Fax
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Last updated
February 1, 2022

Alexandra Badie is a Physician Assistant, Surgical based in Glen Ridge, NJ. Alexandra Badie practices in Glen Ridge, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Alexandra Badie is 1194497198 and holds a License No. 25MP00665500 (NJ). The current practice location address for Alexandra Badie is 311 Bay Ave Ste 20, Glen Ridge, NJ 07028-1607 and can be reached out via phone at 973-746-2200.

Provider Profile Details

NPI Number
1194497198
Provider Name
Alexandra Badie
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
311 Bay Ave Ste 20, Glen Ridge, NJ 07028-1607
Phone Number
973-746-2200
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2021
Last Update Date
February 1, 2022
Certification Date
February 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
311 Bay Ave Ste 20
Glen Ridge, NJ 07028-1607
Zip
07028-1607
Phone Number
973-746-2200
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
66 Brookdale Ave
Nutley, NJ 07110-1007
City
Nutley
State
NJ
Zip
07110-1007
Phone Number
201-577-8156

License Information

License Number
25MP00665500
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexandra Badie, PHYSICIAN ASSISTANT?

The NPI number of Alexandra Badie, PHYSICIAN ASSISTANT is 1194497198. It was assigned on September 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Alexandra Badie, PHYSICIAN ASSISTANT?

Alexandra Badie, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00665500.

Where does Alexandra Badie, PHYSICIAN ASSISTANT practice?

The practice location is 311 Bay Ave Ste 20, Glen Ridge, NJ 07028-1607. The office can be reached at 973-746-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194497198 directly on the NPPES registry website.

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