Active NPI
Alexandra Scialdone, PA-C
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1356881502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 020235
- Practice address
- 165 Smith St
Brooklyn, NY 11201-6337 - Phone
- (212) 441-4380
- Fax
- (212) 867-4353
- NPI assigned
- Mar 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020235 | NY | Primary |
Addresses
Primary practice location
165 Smith St
Brooklyn, NY 11201-6337
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
271 Doughty Blvd
Inwood, NY 11096-2135
Phone (516) 371-6884
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020235 | NY | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai School of Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Family Medicine Physician
- New York, NY
- NPI 1528538774
-
dba Mount Sinai Manhasset Medical
- Internal Medicine Physician
- Manhasset, NY
- NPI 1144659749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1356881502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SMITH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112016337",
"telephone_number": "212-441-4380",
"fax_number": "212-867-4353"
}
],
"practiceLocations": [
{
"address_1": "271 Doughty Blvd",
"address_purpose": "LOCATION",
"city": "Inwood",
"state": "NY",
"postal_code": "110962135",
"country_code": "US",
"telephone_number": "516-371-6884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCIALDONE",
"first_name": "ALEXANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-06",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.