Provider Demographics
NPI:1275619264
Name:JOSEPH D. ALKON, M.D., P.C.
Entity type:Organization
Organization Name:JOSEPH D. ALKON, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALKON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-583-5630
Mailing Address - Street 1:100 WALNUT AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1273
Mailing Address - Country:US
Mailing Address - Phone:908-583-5630
Mailing Address - Fax:908-583-5631
Practice Address - Street 1:100 WALNUT AVE STE 610
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1273
Practice Address - Country:US
Practice Address - Phone:908-583-5630
Practice Address - Fax:908-583-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07872300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
094119Medicare PIN