Ashley Alfaro, FNP
Individual provider Active NPI Family Nurse Practitioner · West Islip, NY
NPI 1265265474 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1265265474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 354147 (NY)
- Practice address
- 320 Montauk Hwy
West Islip, NY 11795-4401 - Phone
- (631) 587-2500
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
376 E Main St
Bay Shore, NY 11706-8405
Phone (631) 539-5400
Hospital & facility affiliations
- Good Samaritan Hospital Medical Center
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241118003607 | NY | Practitioner - Nurse Practitioner | 0749715449 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Associates in Obstetrics & Gynecology, University Faculty P | Current |
Accepting new patients |
Locations
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
320 Montauk Hwy
West Islip, NY 11795
Phone (360) 514-9060
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 354147 | NY | Yes |
Addresses
Primary practice location
320 Montauk Hwy
West Islip, NY 11795-4401
Mailing address
71 E Madison St
East Islip, NY 11730-1600
Phone (631) 835-4444
Other providers in West Islip, NY
- Shaun Sadick Ahmed
- Opemipo Oluwatimilehin Akin-Adejimi
- Sarah Saad Kadhim Al Anssari
- Eileen Alessandro
- Christopher Robert Alexander
- Megan Ann Alfredsen
- Aljan Pharmacy Corp
- Alternatives for Children
- Larry Altschul
- Godwin C Amalu
All providers in West Islip, NY · Family 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 Aug 22, 2024. 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.