Individual provider Active NPI

Alicia Marie Pointer, D.O.

  • Pediatrics Physician
  • Poughkeepsie, NY
National Provider Identifier
1033435631
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
279208 Issued in NY
Practice address
301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587
Phone
(845) 452-1700
Fax
(845) 452-1752
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 257148 MA
Pediatrics Physician 208000000X 279208 NY Primary

Addresses

Primary practice location

301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587

Mailing address

301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587
Phone (845) 452-1700

Other practice location 1

550 Route 299 Ste 200300
Highland, NY 12528-2875
Phone (845) 452-1700

Other practice location 2

29 Elm St
Fishkill, NY 12524-1851
Phone (845) 452-1700

Other practice location 3

63 Hurley Ave
Kingston, NY 12401-2842
Phone (845) 452-1700

Other practice location 4

5 Hook Rd
Rhinebeck, NY 12572-1145
Phone (845) 452-1700

Other practice location 5

400 Auto Park Pl
Newburgh, NY 12550-6700
Phone (845) 452-1700

Other practice location 6

44 Foster Rd Bldg 46B
Hopewell Junction, NY 12533-6178
Phone (845) 452-1700

Other practice location 7

4252 Albany Post Rd
Hyde Park, NY 12538-1766
Phone (845) 452-1700

Other identifiers 1

IdentifierTypeStateIssuer
04156281MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918001783 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1153558689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
257148MAMDPediatrics Physician
279208NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Medical Group PLLC Pediatrics PastSince May 10, 2020 Accepting new patients
The Childrens Medical Group Pediatrics Past Accepting new patients
The Children'S Medical Group PLLC Pediatrics Past Accepting new patients
The Children'S Medical Group PLLC Pediatrics PastSince Oct 24, 2021 Accepting new patients
The Children'S Medical Group PLLC Pediatrics Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1033435631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032587",
            "telephone_number": "845-452-1700",
            "fax_number": "845-452-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032587",
            "telephone_number": "845-452-1700",
            "fax_number": "845-452-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Route 299 Ste 200300",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "NY",
            "postal_code": "125282875",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Elm St",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125241851",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Hurley Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124012842",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Hook Rd",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125721145",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "fax_number": "845-452-1752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Auto Park Pl",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125506700",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Foster Rd Bldg 46B",
            "address_purpose": "LOCATION",
            "city": "Hopewell Junction",
            "state": "NY",
            "postal_code": "125336178",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4252 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381766",
            "country_code": "US",
            "telephone_number": "845-452-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POINTER",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "257148",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "279208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04156281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.