Individual provider Active NPI

Laila Alidani, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1316706369
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350764 Issued in NY
Practice address
7404 5TH Ave
Brooklyn, NY 11209-2704
Phone
(929) 415-8856
Fax
(929) 810-1800
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350764 NY Primary

Addresses

Primary practice location

7404 5TH Ave
Brooklyn, NY 11209-2704

Mailing address

7404 5TH Ave
Brooklyn, NY 11209-2704
Phone (929) 415-8856

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
I20240717002724 NY Practitioner - Nurse Practitioner 6709321441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Ridge Medical Group, PLLCGroup PAC ID 0244677789, 10 clinicians

Practice addresses (Care Compare)

7404 5TH Ave
Brooklyn, NY 11209-2704
Phone (929) 415-8856

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350764NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ridge Medical Group, PLLC CurrentSince Jan 3, 2025 Accepting new patients
Mercy Medical Care, PC CurrentSince May 12, 2024 Accepting new patients

Locations

1381B Linden Blvd
Brooklyn, NY 11212
Phone (718) 498-3103

7404 5th Ave
Brooklyn, NY 11209
Phone (929) 415-8856

1722 Pitkin Ave
Brooklyn, NY 11212
Phone (929) 415-8856

273 94th St
Brooklyn, NY 11209
Phone (718) 630-5552

Networks

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

Organizations & group practices 2

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": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1316706369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "929-415-8856",
            "fax_number": "929-810-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "929-415-8856",
            "fax_number": "929-810-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIDANI",
        "first_name": "LAILA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.