Alexandra Lauren Tabakin, MD
Urology in New Brunswick, NJ. Individual provider (NPI-1).
NPI number1982132684
StatusActive
Last updated in NPPESAug 9, 2025
Details
- NPI
- 1982132684
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Lauren Tabakin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2017
- Certification date
- Aug 9, 2025
- Last updated
- Aug 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - UROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 25MA10997100 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 390200000X | NJ |
Practice location
Po Box 19New Brunswick, NJ 08903-0019
Phone 732-235-7674 · Fax 732-235-8372
Mailing address
4 Knollwood TerRandolph, NJ 07869-3012
Phone 862-812-7749
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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