ALEXANDER JAMES EJZAK P.A.
NPI 1083860761
Physician Assistant in New London, CT

Active since August 13, 2008PECOS EnrolledAccepts Medicare Assignment
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexander James Ejzak P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER JAMES EJZAK P.A. (NPI 1083860761) is an individual physician assistant in New London, Connecticut, licensed in Connecticut (002130) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083860761
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDER JAMES EJZAKCredential: P.A.
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address365 Montauk AveNew London, CT 06320-4700 · (860) 442-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 13, 2008
Last NPPES UpdateFebruary 26, 2019
NPI 1083860761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CT · 002130
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

365 MONTAUK AVE, New London, CT 06320

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexander James Ejzak P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759449267
PECOS Enrollment IDI20081027000648
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services134 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
99 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
37 services37 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Ejzak's NPI number?

The NPI number for Alexander Ejzak is 1083860761. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Alexander Ejzak located?

Alexander Ejzak practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Alexander Ejzak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Ejzak enrolled in Medicare?

Yes. Alexander Ejzak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexander Ejzak was last updated on February 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.