Individual provider Active NPI

Alla Khamermesh, CNM, WHNP

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1306134051
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421021 Issued in NY
Practice address
200 W 57TH St
Suite1101
New York, NY 10019-3211
Phone
(212) 810-2828
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001409-1 NY
Women's Health Nurse Practitioner 363LW0102X F421021 NY Primary

Addresses

Primary practice location

200 W 57TH St
Suite1101
New York, NY 10019-3211

Mailing address

200 W 57TH St
Suite1101
New York, NY 10019-3211
Phone (212) 810-2828

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
I20251119004749 NY Practitioner - Nurse Practitioner 7214429067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2829 Ocean Pkwy
Suite 3
Brooklyn, NY 11235-7859

3047 Ave U
Brooklyn, NY 11229

4514 16TH Ave
FL 4
Brooklyn, NY 11204-1101

620 Foster Ave
Suite 200
Brooklyn, NY 11230-1389

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F421021NYMDWomen's Health Nurse Practitioner
F001409-1NYMDAdvanced Practice Midwife

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Premium Health Inc CurrentSince Sep 12, 2025 Accepting new patients
S&R We Care Medical PC CurrentSince Oct 4, 2025 Accepting new patients
Joshua U. Klein, MD, PC PastSince Dec 17, 2023 Accepting new patients

Locations

4514 16th Ave
Brooklyn, NY 11204
Phone (718) 407-7300

2829 Ocean Pkwy
Ste 3
Brooklyn, NY 11235
Phone (718) 743-5300

620 Foster Ave
Ste 200
Brooklyn, NY 11230
Phone (718) 407-7300

620 Foster Ave
Brooklyn, NY 11230

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1306134051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-810-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-810-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMERMESH",
        "first_name": "ALLA",
        "credential": "CNM, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001409-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.