Provider Demographics
NPI:1487106688
Name:MCALLISTER, ALEXANDRA LEE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:LEE
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ALEXANDRA
Other - Middle Name:LEE
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1925 PACIFIC AVENUE
Mailing Address - Street 2:ATLANTIC REGIONAL MEDICAL CENTER
Mailing Address - City:ATLANTIC CIRY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-6713
Mailing Address - Country:US
Mailing Address - Phone:609-513-5682
Mailing Address - Fax:
Practice Address - Street 1:1925 PACIFIC AVENUE
Practice Address - Street 2:ATLANTIC REGIONAL MEDICAL CENTER
Practice Address - City:ATLANTIC CIRY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6713
Practice Address - Country:US
Practice Address - Phone:609-441-8182
Practice Address - Fax:609-441-8178
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00415900363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant