Individual provider Active NPI

Alisa Margaret Dean-McCabe

  • Specialist
  • Nanuet, NY
National Provider Identifier
1184004855
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
889474 Issued in NY
Practice address
2 Hague CT
Nanuet, NY 10954-1719
Phone
(914) 414-9003
NPI assigned
Jun 8, 2015
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 889474 NY
Specialist 174400000X 889474 NY Primary
Early Intervention Provider Agency 252Y00000X 889474 NY

Addresses

Primary practice location

2 Hague CT
Nanuet, NY 10954-1719

Mailing address

2 Hague CT
Nanuet, NY 10954-1719
Phone (914) 414-9003

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

State licenses

LicenseStateTypeSpecialty
889474NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1184004855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAGUE CT",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541719",
            "telephone_number": "914-414-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAGUE CT",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541719",
            "telephone_number": "914-414-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN-MCCABE",
        "first_name": "ALISA",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "889474",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "889474",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "889474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.