Individual provider Active NPI

Alize Hurtic, FNP

  • Family Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1215819792
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357340 Issued in NY
Practice address
5112 W Taft Rd Ste H
Liverpool, NY 13088-4991
Phone
(315) 452-3235
Fax
(315) 452-5726
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 357340 NY Primary

Addresses

Primary practice location

5112 W Taft Rd Ste H
Liverpool, NY 13088-4991

Mailing address

5112 W Taft Rd Ste H
Liverpool, NY 13088-4991
Phone (315) 452-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250926000884 NY Practitioner - Nurse Practitioner 4789189044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Hepatology of Central New York, PCGroup PAC ID 3072505411, 27 clinicians

Practice addresses (Care Compare)

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4866
Phone (315) 452-3235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
357340NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology of Central New York, PC CurrentSince Aug 15, 2025 Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients

Locations

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

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": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1215819792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884991",
            "telephone_number": "315-452-3235",
            "fax_number": "315-452-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884991",
            "telephone_number": "315-452-3235",
            "fax_number": "315-452-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTIC",
        "first_name": "ALIZE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.