Active NPI
Alvin He, P.A.
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1073897559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 015090
- Practice address
- 5303 8TH Ave
Brooklyn, NY 11220-3201 - Phone
- (718) 972-1777
- Fax
- (718) 854-7086
- NPI assigned
- Oct 3, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015090 | NY | Primary |
Addresses
Primary practice location
5303 8TH Ave
Brooklyn, NY 11220-3201
Mailing address
5303 8TH Ave
Brooklyn, NY 11220-3201
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150303002042 | NY | Practitioner - Physician Assistant | 2860718129 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1073897559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5303 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203201",
"telephone_number": "718-972-1777",
"fax_number": "718-854-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "ALVIN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.