Alicia Jasmine Ferdinand, FNP
Individual provider Active NPI Family Nurse Practitioner · Bardonia, NY
NPI 1073106019 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1073106019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F347287-01 (NY)
- Practice address
- 330 Ny-304
Bardonia, NY 10954 - Phone
- (866) 389-2727
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medical Group of New York PC
Practice addresses (Care Compare)
375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210428002922 | NY | Practitioner - Nurse Practitioner | 6901215102 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F347287-01 | NY | MD | Family Nurse Practitioner |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of New York, P.C. | Family | Current |
Accepting new patients |
Locations
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
130 Malcolm X Blvd
New York, NY 10026
Phone (212) 348-2199
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F347287-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | F347287-01 | NY | Yes |
Addresses
Primary practice location
330 Ny-304
Bardonia, NY 10954
Mailing address
130 Lenox Ave
New York, NY 10026-2503
Phone (774) 289-4231
Other providers in Bardonia, NY
- Earl L. Estwick, DMD, PC
- Charlene Ebner-Rankin
- Efren Olivo MD PC
- Frances Erenio
- Earl L Estwick
- Mary Friel
- Joseph Anthony Ghabour
- Adeel Samuel Gill
- Stephanie Fay Givas
- Renee Golding-Coote
All providers in Bardonia, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.