Active NPI
Myrian Mercedes Alea, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Bronx, NY
National Provider Identifier
1063484087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 299139
- Practice address
- 110 E 210TH St
Bronx, NY 10467 - Phone
- (718) 920-5312
- Fax
- (718) 798-6485
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 299139 | NY | Primary |
Addresses
Primary practice location
110 E 210TH St
Bronx, NY 10467
Mailing address
110 E 210TH St
Bronx, NY 10467-2402
Phone (718) 920-5312
Other practice location 1
110 E 210th St
Bronx, NY 10467
Phone (718) 920-5312
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26277 | Other | FL | BCBS |
| 376549100 | Medicaid | FL |
Other names 1
- Dr. Myrian Alea
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299139 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- malea@montefioredirect.com
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1063484087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672402",
"telephone_number": "718-920-5312",
"fax_number": "718-798-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-5312",
"fax_number": "718-798-6485"
}
],
"practiceLocations": [
{
"address_1": "110 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10467",
"country_code": "US",
"telephone_number": "718-920-5312",
"fax_number": "718-798-6485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEA",
"first_name": "MYRIAN",
"middle_name": "MERCEDES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "299139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "26277",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376549100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MYRIAN",
"last_name": "ALEA",
"prefix": "DR.",
"credential": "MD.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bronx, NY
- Elizabeth M Alderman, MD
- Michael H. Alderman, M.D.
- Jane Aldinger
- Areej Aldossary
- Margaret Livingston Aldrich, M.D.
- Alegria Health & Wellness Pharmacy Corp. (Alegria Pharmaceutical & Infusion Services)
- Hilda Alejandre, M.D.
- Alejandro Williams Dental Office PC
- Priscilla Carmel Alejandro-Boitel, RN
- Joanna Alejandro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.