Montrace Alves-Richard
Individual provider Active NPI Nurse Practitioner · Richmond Hill, NY
NPI 1194050609 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1194050609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F310937-01 (NY)
- Practice address
- 8900 Van Wyck Expy
Richmond Hill, NY 11418-2832 - Phone
- (718) 206-6000
- NPI assigned
- Oct 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 Rochester Ave
Brooklyn, NY 11213-3942
9043 Springfield Blvd
Jamaica, NY 11428-1352
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231002001415 | NY | Practitioner - Nurse Practitioner | 5597119008 | Reassigns benefits to 3 organizations |
| I20251210001074 | NY | Practitioner - Nurse Practitioner | 5597119008 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610355 | NY | MD | Registered Nurse |
| F310937-01 | NY | MD | Nurse Practitioner |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Urgicare, PLLC | Current |
Accepting new patients | |
| Jamaica Hospital | Current |
Accepting new patients | |
| Jamaica Hospital | Current |
Accepting new patients | |
| Montrace NP in Adult Health PLLC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients |
Locations
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
9043 Springfield Blvd
Queens Village, NY 11428
Phone (516) 776-9081
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- malvesrichard100443@direct.medisys.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 610355 | NY | |
| Nurse Practitioner | 363L00000X | F310937-01 | NY | Yes |
Addresses
Primary practice location
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Mailing address
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Phone (718) 206-6000
Other providers in Richmond Hill, NY
- Anthony Jonathan Almeida
- Alre Catubig Almendral
- Naseem Alnadi
- Muhammad Randy Alsabe
- Lamya Alsaidi
- Ganymede Cyrus Amazona
- Claire German Ambas
- France Georgette America
- Zhanna Aminova
- Kashmira Andre
All providers in Richmond Hill, NY · Nurse Practitioner 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 Dec 21, 2023. 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.