ALEXIS DALLARA-MARSH (NPI# 1457642308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457642308 |
| Entity Type | Individual |
| Full Name | ALEXIS DALLARA-MARSH |
| Practice Address |
1200 E Ridgewood Ave Suite 208 Ridgewood NJ 07450-3957 |
| Practice Telephone | 2014440868 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2017-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
261693 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
25MA09807700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1200 E RIDGEWOOD AVE SUITE 208 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053537 | Joel E. Kopelman | Plastic Surgery | 1200 E Ridgewood Ave, Ste 1, Ridgewood, NJ 07450-3957 | 2005-06-15 |
| 1558915140 | Joy Charnesky | Neurological Surgery | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2019-07-31 |
| 1811411267 | Tamar D Mermelstein | Physician Assistant | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2017-07-27 |
| 1982142832 | Nicole Mohr | Physical Therapist | 1200 E Ridgewood Ave, Suite 208, Ridgewood, NJ 07450-3957 | 2017-02-10 |
| 1356897029 | Alexandra Kratch | Physical Therapist | 1200 E Ridgewood Ave, East Wing, Suite 208, Ridgewood, NJ 07450-3957 | 2016-08-31 |
| 1275919847 | Sylvia Ardeljan-savic | Physician Assistant | 1200 E Ridgewood Ave, Suite 200, Ridgewood, NJ 07450-3957 | 2015-08-06 |
| 1437544426 | Synapse Consulting | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2015-04-06 |
| 1104210301 | Marianne Marie Longo | Nurse Practitioner | 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 | 2015-03-25 |
| 1679966907 | Advanced Surgical Center of Bergen County, P.C. | Clinic/Center | 1200 E Ridgewood Ave, Ste 211, Ridgewood, NJ 07450-3957 | 2015-03-11 |
| 1972923621 | Lenka Mysliwiec | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467640 | Kidsneuro, LLC | Psychiatry & Neurology | 205 Browertown Rd Ste 1, Woodland Park, NJ 07424-2610 | 2017-06-27 |
| 1255871547 | Vinayak Dattatraya Bodas | Psychiatry & Neurology | 268 M.l. King Blvd., Newark, NJ 07102 | 2017-03-06 |
| 1013306885 | Namita Garg | Psychiatry & Neurology | 7 Bell St, Apartment # 401, Montclair, NJ 07042-2232 | 2015-01-16 |
| 1477895167 | Bridget Anne Leone | Psychiatry & Neurology | 200 S Orange Ave Ste 165, Livingston, NJ 07039 | 2013-03-20 |
| 1700047594 | Vikram Bhise | Psychiatry & Neurology | 89 French St Fl 2, Children's Health Institute of New Jersey, New Brunswick, NJ 08901-1935 | 2008-06-24 |
| 1952526816 | German Laufer | Psychiatry & Neurology | 22 Knutsen Dr, West Orange, NJ 07052-2162 | 2007-04-16 |
| 1215096524 | Neuroscience Assoc Md Pa | Psychiatry & Neurology | 31 Mountain Blvd Bldg A, Warren, NJ 07059-5645 | 2006-12-06 |
| 1700961307 | Beverly Fischer | Psychiatry & Neurology | 4 Chiplou Ln, Scotch Plains, NJ 07076-2204 | 2006-10-25 |
| 1851487193 | Leonid Lev Topper | Psychiatry & Neurology | 34 Mountain Blvd Ste B, Warren, NJ 07059-2640 | 2006-10-05 |
| 1578663738 | Gabor Barabas | Psychiatry & Neurology | 24 Muncy Dr, West Long Branch, NJ 07764-1147 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
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| 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.