Individual provider Active NPI

Dhiwya Alex, PA

  • Physician Assistant
  • Staten Island, NY
National Provider Identifier
1295379303
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
61 Delafield PL
Staten Island, NY 10310-1675
Phone
(347) 294-9165
NPI assigned
Oct 31, 2019
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

61 Delafield PL
Staten Island, NY 10310-1675

Mailing address

61 Delafield PL
Staten Island, NY 10310-1675
Phone (347) 294-9165

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
I20210630001934 NY Practitioner - Physician Assistant 1153722905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2175 86TH St
Brooklyn, NY 11214-3205
Phone (646) 828-6401

2187 Richmond Ave
Staten Island, NY 10314-3920
Phone (646) 682-7364

2710 Hylan Blvd
Staten Island, NY 10306-4658
Phone (718) 489-3551

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

5788 -5800 Amboy Rd
Staten Island, NY 10309-3137
Phone (718) 571-9716

6502 18TH Ave
Brooklyn, NY 11204-3702
Phone (718) 571-9423

812 Forest Ave
Staten Island, NY 10310-2446
Phone (718) 571-9196

8712 4TH Ave
Brooklyn, NY 11209-5110
Phone (718) 530-1155

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jul 1, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: dhiwya.alex.1@2983.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1295379303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELAFIELD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101675",
            "telephone_number": "347-294-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DELAFIELD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101675",
            "telephone_number": "347-294-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEX",
        "first_name": "DHIWYA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.