National Provider Identifier Database

ALEXANDRA BADIE, PHYSICIAN ASSISTANT – NPI #1194497198
Surgical


Contact Information

ALEXANDRA BADIE, PHYSICIAN ASSISTANT
311 BAY AVE STE 20
GLEN RIDGE, NJ07028-1607
Phone: 973-746-2200
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for ALEXANDRA BADIE

NPI Number 1194497198
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 09/29/2021
Last updated 02/01/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MP00665500
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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