Willy Alexis, MD
Individual provider Active NPI Psychiatry Physician · Bronx, NY
NPI 1164568564 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164568564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 200184 (NY)
- Practice address
- Olmmc, Dept. of Psychiatry
600 East 233Rd St.
Bronx, NY 10466 - Phone
- (718) 920-9826
- Fax
- (718) 920-9217
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dobbs Ferry Emergency Medicine, PC
Practice addresses (Care Compare)
2 Park Ave
Yonkers, NY 10703-3402
Phone (914) 964-4370
Hospital & facility affiliations
- St John'S Riverside Hospital
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081103000002 | NY | Practitioner - Internal Medicine | 6709945066 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200184 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symphony Medical PC | Current |
Accepting new patients | |
| Symphony Medical PC | Current |
Accepting new patients | |
| Dobbs Ferry Emergency Medicine, PC | Current |
Accepting new patients | |
| Montefiore Medical Center | Psychiatry | Past | Accepting new patients |
Locations
128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936
2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7300
1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965
967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956
Interoperability endpoints
- https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200184 | NY | Yes |
Addresses
Primary practice location
Olmmc, Dept. of Psychiatry
600 East 233Rd St.
Bronx, NY 10466
Mailing address
1458 E 86TH St
Brooklyn, NY 11236-5134
Phone (718) 763-2872
Other providers in Bronx, NY
- Barbara Alexis
- Dimitri Alexis
- Jean Jude Alexis
- Karenza Michelle Alexis
- Michelle G Alexis
- Celia Alfalla
- Nancy Alfaro
- Wendy Johana Alfaro
- Donna M Alfieri
- Jorge Alberto Alfonso del Pino
All providers in Bronx, NY · Psychiatry Physician 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 Jul 8, 2007. 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.