Individual provider Active NPI

Alyssa M Hackett, M.D.

  • Pediatric Otolaryngology Physician
  • New York, NY
National Provider Identifier
1063677482
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
275035 Issued in NY
Practice address
150 E 58TH St FL 34
New York, NY 10155-3499
Phone
(212) 722-5570
Fax
(212) 722-4573
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 275035 NY Primary

Addresses

Primary practice location

150 E 58TH St FL 34
New York, NY 10155-3499

Mailing address

660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546

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
I20141106002518 NY Practitioner - Otolaryngology 0143442186 Reassigns benefits to 2 organizations
Practice locations: Bayside, NY; New York, NY; White Plains, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2016 Accepting new patients
ENT and Allergy Associates LLP Pediatric Otolaryngology CurrentSince Oct 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients

Locations

4564 Francis Lewis Blvd
Bayside, NY 11361
Phone (718) 225-6100

4564 Francis Lewis Blvd
#2N
Bayside, NY 11361
Phone (718) 225-6100

1200 Waters Pl
Ste 110
Bronx, NY 10461
Phone (718) 508-4230

77 Worth St
New York, NY 10013
Phone (212) 241-3940

150 E 58th St
Fl 34
New York, NY 10155
Phone (212) 722-5570

310 E 14th St
#1
New York, NY 10003

310 E 14th St
#6
New York, NY 10003
Phone (212) 979-4200

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800

244 Westchester Ave
White Plains, NY 10604
Phone (914) 997-9100

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ahackett@direct.nyee-provider.mountsinai.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alyssa.hackett@direct.entandallergy.nextgenshare.com

Organizations & group practices 4

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1063677482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 400",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915107",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 58TH ST FL 34",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101553499",
            "telephone_number": "212-722-5570",
            "fax_number": "212-722-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NY",
            "license": "275035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.