Aleksandr Martirosov, DO - Medicare Family Practice in Fair Lawn, NJ

Aleksandr Martirosov, DO is a medicare enrolled "Family Medicine" physician in Fair Lawn, New Jersey. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dynamic Health Rehabilitation Center Pc, Tri-state Health And Wellness Medical Care Center Pc and his current practice location is 31-00 Broadway, 1st Floor, Fair Lawn, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 791-7771.

Aleksandr Martirosov is licensed to practice in New Jersey (license number 25MB06860100) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700931185.

Contact Information

Aleksandr Martirosov, DO
31-00 Broadway, 1st Floor,
Fair Lawn, NJ 07410-3963
(201) 791-7771
(201) 791-7337



Physician's Profile

Full NameAleksandr Martirosov
GenderMale
SpecialityFamily Practice
Experience28 Years
Location31-00 Broadway, Fair Lawn, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Aleksandr Martirosov attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1996
  NPI Data:
  • NPI Number: 1700931185
  • Provider Enumeration Date: 01/24/2007
  • Last Update Date: 10/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3678479896
  • Enrollment ID: I20031209000748

Medical Identifiers

Medical identifiers for Aleksandr Martirosov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700931185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MB06860100 (New Jersey)Primary
207QA0401XFamily Medicine - Addiction Medicine 25MB06860100 (New Jersey)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dynamic Health Rehabilitation Center Pc24666701204
Tri-state Health And Wellness Medical Care Center Pc35776280562

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aleksandr Martirosov allows following entities to bill medicare on his behalf.
Entity NameTri-state Health And Wellness Medical Care Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942457023
PECOS PAC ID: 3577628056
Enrollment ID: O20090217000316

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Entity NameDynamic Health Rehabilitation Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588077705
PECOS PAC ID: 2466670120
Enrollment ID: O20140822000249

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aleksandr Martirosov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Aleksandr Martirosov, DO
31-00 Broadway, 1st Floor,
Fair Lawn, NJ 07410-3963

Ph: (201) 791-7771
Aleksandr Martirosov, DO
31-00 Broadway, 1st Floor,
Fair Lawn, NJ 07410-3963

Ph: (201) 791-7771

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Family Medicine Doctors in Fair Lawn, NJ

Alexander Westcott,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410
Phone: 201-796-2255    Fax: 201-796-3711
Long Qin Wang, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410
Phone: 201-796-2255    
Samia Riaz Chaudry, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 41 04 Goldblatt Terrace, Fair Lawn, NJ 07410
Phone: 201-797-7129    Fax: 201-703-6982
Kiran Syed, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 22-18 Broadway Ste 201, Fair Lawn, NJ 07410
Phone: 201-475-5050    Fax: 201-475-5522
Dr. Salvatore Infantino, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11-26 Saddle River Rd, Fair Lawn, NJ 07410
Phone: 201-796-9225    Fax: 201-796-7606
Mrs. Sadia R Chaudry, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 41-04 Goldblatt Ter, Fair Lawn, NJ 07410
Phone: 201-797-7129    Fax: 201-703-6982
Dr. Eirene George John, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20-20 Fair Lawn Ave, Second Floor, Fair Lawn, NJ 07410
Phone: 201-703-0202    

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