Alicia Nicholls, RPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005223 Issued in NY

Practice address

4904 19TH Ave
Astoria, NY 11105-1002

Phone

(718) 777-3494

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Prompt Urgent Care,PLLCGroup PAC ID 0840576054, 3 clinicians

Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

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

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.

• Doral Medical and Multi Specialty Facility LLC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1144693607
  Medicare reassignment Care Compare group
• Prompt Urgent Care,PLLC

  • Emergency Medicine Physician
  • Staten Island, NY
  • NPI 1598296741
  Medicare reassignment Care Compare group
• Modern Physician Services PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1932590601
  Care Compare group
• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1962451195
  NPD (past)
• Doral Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1558051482
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1093944266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "718-777-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "718-777-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie NG, MPH, RDN, CDN
• Kathleen Kim Nguyen
• Van Anh Nguyen
• Ariel Niazov, PA
• Carmela Wanda Nicholas
• Chiung-Hui Nichols-Nakajima
• Laurie Nicholson
• Norman Rafael Nicol, D.O.
• Alexander Nicolaides, M.D.
• Irene M. Nicolaides, M.S., R.D. C.D.N.

• Medical Physician Assistant in Astoria, NY
• Providers in Astoria, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.