Individual provider Active NPI

Myrlene M Ismael-Alleyne, P.A.-C

  • Medical Physician Assistant
  • Sunrise, FL
National Provider Identifier
1265438196
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3351 Issued in FL
Practice address
8391 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone
(954) 749-1616
Fax
(954) 749-1639
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X PA3351 FL Primary

Addresses

Primary practice location

8391 W Oakland Park Blvd
Sunrise, FL 33351-7307

Mailing address

8391 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 749-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051114000201 FL Practitioner - Physician Assistant 8325067929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Senior Services IncGroup PAC ID 4183950801, 3 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

550 SW 3Rd St
JKV Center for Healthy Living
Pompano Beach, FL 33060-6934
Phone (954) 771-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3351FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Mar 14, 2012 Accepting new patients
Holy Cross Hospital Inc CurrentSince Mar 14, 2012 Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

8391 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 335-6925

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265438196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-749-1616",
            "fax_number": "954-749-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-749-1616",
            "fax_number": "954-749-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAEL-ALLEYNE",
        "first_name": "MYRLENE",
        "middle_name": "M",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.