Active NPI
Jezaida Rivera-Alvarez, FNP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F347657
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 659359 | NY | |
| Family Nurse Practitioner | 363LF0000X | F347657 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 659359 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24008 135TH Ave
Rosedale, NY 11422-1511
Phone (347) 440-1500
Hospital & facility affiliations
- Girling Health Care of New York
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 659359 | NY | MD | Registered Nurse |
| F347657 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Nyc Community Medical Care | Current | Accepting new patients | |
| Molina Healthcare of New York, Inc. | Current | Accepting new patients | |
| Saras Haven Inc | Current | Accepting new patients | |
| Vantage Medical Associates PC | Current | Accepting new patients | |
| Beacon Health Medical PC | Current | Accepting new patients | |
| Rockwell Health LLC | Past | Accepting new patients | |
| HP Medical Care PC | Past | Accepting new patients | |
| Urban Family Practice PC | Family | Past | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
1888 Westchester Ave
Ste B
Bronx, NY 10472
Phone (917) 634-9600
17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090
1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600
5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960
24008 135th Ave
Rosedale, NY 11422
Phone (347) 440-1500
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHFGDD
Organizations & group practices 10
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rosedale, NY
- NPI 1326752460
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1679393052
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Nurse Practitioner
- North Syracuse, NY
- NPI 1134622970
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1427486703
-
- Multi-Specialty Clinic/Center
- Far Rockaway, NY
- NPI 1538642996
-
- Multi-Specialty Clinic/Center
- Syosset, NY
- NPI 1588249114
-
- Urgent Care Clinic/Center
- Forest Hills, NY
- NPI 1356731202
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1699479733
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1265079651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 WILLIAMSBRIDGE RD FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104612507",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-ALVAREZ",
"first_name": "JEZAIDA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "659359",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F347657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "659359",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.