Individual provider Active NPI

Alexis Ross, PA

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1154743508
Registry record updated Jan 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
017065-1 Issued in NY
Practice address
38 W 22ND St
Floor 7
New York, NY 10010-5820
Phone
(646) 484-6982
NPI assigned
Jan 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 017065-1 NY Primary

Addresses

Primary practice location

38 W 22ND St
Floor 7
New York, NY 10010-5820

Mailing address

38 W 22ND St
Floor 7
New York, NY 10010-5820
Phone (646) 484-6982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017065-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Almond Medical, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1390089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390089600000",
    "number": "1154743508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W 22ND ST",
            "address_2": "FLOOR 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105820",
            "telephone_number": "646-484-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W 22ND ST",
            "address_2": "FLOOR 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105820",
            "telephone_number": "646-484-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ALEXIS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-19",
        "last_updated": "2014-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017065-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.