Active NPI
Alla Khamermesh, CNM, WHNP
- Women's Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F421021
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F421021 | NY | MD | Women's Health Nurse Practitioner |
| F001409-1 | NY | MD | Advanced Practice Midwife |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Health Inc | Current | Accepting new patients | |
| S&R We Care Medical PC | Current | Accepting new patients | |
| Joshua U. Klein, MD, PC | Past | 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.
-
- Reproductive Endocrinology Physician
- New York, NY
- NPI 1548038342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.