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MEADOWLANDS MEDICAL CENTER, PA
NPI 1124050711
Clinic/Center - Primary Care in Orange Park, FL

Active since July 06, 2006CLIA 10D0267092 · Waiver
1543 KINGSLEY AVE BLDG 1, ORANGE PARK, FL 32073(904) 706-1636(904) 592-1322 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Oct 25, 2017 (2 updates tracked since 2017).

About Meadowlands Medical Center, Pa NPPES

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

MEADOWLANDS MEDICAL CENTER, PA (NPI 1124050711) is a healthcare organization registered as a primary care in Orange Park, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Marc Louis Alessandria, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1124050711
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEADOWLANDS MEDICAL CENTER, PA
Location Address1543 KINGSLEY AVE BLDG 1Orange Park, FL 32073-4535
Mailing Address1871 Sentry Oak CtFleming Island, FL 32003-3775 · (904) 706-1636 · Fax (904) 592-1322
Phone(904) 706-1636
Fax(904) 592-1322
Organization SubpartNo
Authorized OfficialMarc Louis AlessandriaOwner/president · (904) 706-1636
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1124050711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME70009
1543 KINGSLEY AVE BLDG 1, Orange Park, FL 32073
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0267092

Meadowlands Medical Center · Orange Park, FL
Active · expires Oct 23, 2027
CLIA Number10D0267092
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorMarc L. Alessandria
Laboratory Phone(904) 592-7818
Laboratory LocationMeadowlands Medical Center179 College Drive Ste 17, Orange Park, FL 32065
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARC L ALESSANDRIA MD
Family Medicine
1543 KINGSLEY AVE BLDG 1
ORANGE PARK, FL 32073
Clay County (904) 706-1636

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 Meadowlands Medical Center, PA's NPI number?

The NPI number for Meadowlands Medical Center, PA is 1124050711. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Meadowlands Medical Center, PA located?

Meadowlands Medical Center, PA is located at 1543 Kingsley Ave Bldg 1, Orange Park, FL 32073. The listed phone number is (904) 706-1636.

What is Meadowlands Medical Center, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Meadowlands Medical Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0267092) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meadowlands Medical Center, PA was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.