RAFAEL ALEXANDRE - NPI 1376374363 - Physician Assistant in Jersey City, NJ

Q: What is Rafael Alexandre's NPI number?

The NPI number for Rafael Alexandre is 1376374363. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Q: What is Rafael Alexandre's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Alexandre was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rafael Alexandre NPPES

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

RAFAEL ALEXANDRE (NPI 1376374363) is an individual medical provider in Jersey City, New Jersey, licensed in New Jersey (25MP00863700) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376374363

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameRAFAEL ALEXANDRE

Location Address127 MONTGOMERY STJersey City, NJ 07302-3616

Mailing Address271 Grove Ave Ste EVerona, NJ 07044-1730 · (973) 559-3700 · Fax (833) 484-1686

Phone(201) 431-7200

Fax(833) 488-1215

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 12, 2024

Last NPPES UpdateApril 16, 20252 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1376374363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NJ · 25MP00863700

127 MONTGOMERY ST, Jersey City, NJ 07302

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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

Rafael Alexandre 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 ID446785984

PECOS Enrollment IDI20241121000920

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.

Other Providers at the Same Location NPPES 6

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

SWETAL PATEL PA-C

Physician Assistant