Individual provider Active NPI

Alla Seldina, L.AC.,R.N., FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1104908789
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342776-1 Issued in NY
Practice address
2305 Hylan Blvd
Staten Island, NY 10306-3231
Phone
(718) 619-3790
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 565344-1 NY
Acupuncturist 171100000X 2030 NY
Family Nurse Practitioner 363LF0000X F342776-1 NY Primary

Addresses

Primary practice location

2305 Hylan Blvd
Staten Island, NY 10306-3231

Mailing address

2305 Hylan Blvd
Staten Island, NY 10306-3231
Phone (718) 619-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180709000771 NY Practitioner - Nurse Practitioner 7315293230 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY
I20210407001253 FL Practitioner - Nurse Practitioner 7315293230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2305 Hylan Blvd
Staten Island, NY 10306-3231
Phone (718) 667-0297

8335 NW 8TH Ter
Boca Raton, FL 33487-1371
Phone (718) 667-0297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
565344-1NYMDRegistered Nurse
342776NYMDLicensed Practical Nurse
2030NYMDAcupuncturist
F342776-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alla Seldina Aprn PA Registered Nurse CurrentSince Apr 25, 2021 Accepting new patients
Alla Seldina Family Health NP PC Registered Nurse CurrentSince Sep 1, 2020 Accepting new patients

Locations

2305 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-0297

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1104908789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063231",
            "telephone_number": "718-619-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063231",
            "telephone_number": "718-619-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDINA",
        "first_name": "ALLA",
        "credential": "L.AC.,R.N., FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "565344-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "2030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342776-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.