ALEXIS DALLARA-MARSH NPI 1457642308

NPI Information

  • NPI: 1457642308
  • Provider Name: ALEXIS DALLARA-MARSH
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1200 E RIDGEWOOD AVE
    SUITE 208
    RIDGEWOOD, NJ
    ZIP 07450
  • Phone: (201) 444-0868

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NPI Details

Alexis Dallara-marsh is a neurology with special qualifications in child neurology psychiatry neurology in Ridgewood, NJ with 17 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Alexis Dallara-marsh NPI is 1457642308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:2009

The provider's business location address is:

1200 E RIDGEWOOD AVE
SUITE 208
RIDGEWOOD, NJ
ZIP 07450-957
Phone: (201) 444-0868

The NPI 1457642308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of brain wave activity (eeg), awake and asleep (HCPCS:95819)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)

The enumeration date for this NPI number is 4/27/2011 and was last updated on 4/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology261693NEW YORKNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology25MA09807700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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