Alexandra Desimone
Family Medicine in Marlton, New Jersey
1306228143- Practice location
- 141 Route 70 E Ste E, Marlton, NJ 08053-1855
- Phone
- 856-985-7373
- Fax
- 856-985-9611
- Last updated
- March 17, 2022
Alexandra Desimone is a Family Medicine based in Marlton, NJ. Alexandra Desimone practices in Marlton, NJ. The NPI Number for Alexandra Desimone is 1306228143 and holds a License No. 25MA10348700 (NJ). The current practice location address for Alexandra Desimone is 141 Route 70 E Ste E, Marlton, NJ 08053-1855 and can be reached out via phone at 856-985-7373 and via fax at 856-985-9611.
Provider Profile Details
- NPI Number
- 1306228143
- Provider Name
- Alexandra Desimone
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 141 Route 70 E Ste E, Marlton, NJ 08053-1855
- Phone Number
- 856-985-7373
- Fax Number
- 856-985-9611
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Other Names
- -- Alexandra Mineo, MD (Former Name)
- Provider Enumeration Date
- June 28, 2015
- Last Update Date
- March 17, 2022
- Certification Date
- March 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 141 Route 70 E Ste E
Marlton, NJ 08053-1855 - City
- Marlton
- State
- New Jersey
- Zip
- 08053-1855
- Phone Number
- 856-985-7373
- Fax Number
- 856-985-9611
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 856-355-0340
- Fax Number
- 856-355-0330
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MA10348700
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Desimone?
The NPI number of Alexandra Desimone is 1306228143. It was assigned on June 28, 2015 and is currently active in the NPPES registry.
What is the specialty of Alexandra Desimone?
Alexandra Desimone is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10348700.
Where does Alexandra Desimone practice?
The practice location is 141 Route 70 E Ste E, Marlton, NJ 08053-1855. The office can be reached at 856-985-7373 (phone) or 856-985-9611 (fax).
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 1306228143 directly on the NPPES registry website.