Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Etheridge, MD

Individual provider Pediatrics Physician · NPI 1326735317

Alexis Etheridge, MD is a Pediatric Medicine in New York, New York. Graduated from Rutgers, Robert Woood Johnson Medical School in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Trained at
Rutgers, Robert Woood Johnson Medical School
Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 1st Ave
New York, NY 10016-6402
Phone: (212) 263-5506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 342553 (NY)

Record details

NPI number1326735317
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2023
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolRUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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