Active NPI
Alpha Wellcare
- Case Management Agency
- New York, NY
National Provider Identifier
1366197774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ALPHA WELLCARE
- Practice address
- 330 E 38TH St Apt 9L
New York, NY 10016-2765 - Phone
- (917) 916-6419
- NPI assigned
- Feb 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Moddy Kiluvia
- Title
- Ceo
- Phone
- (917) 353-1985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
330 E 38TH St Apt 9L
New York, NY 10016-2765
Mailing address
330 E 38TH St Apt 9L
New York, NY 10016-2765
Phone (917) 353-1985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922073261 | Other | NPI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | other | ||
| Other URL | Desktop | ||
| Other URL | Desktop |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Rye, NY
- NPI 1932852902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644796800000",
"number": "1366197774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 38TH ST APT 9L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162765",
"telephone_number": "917-353-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E 38TH ST APT 9L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162765",
"telephone_number": "917-916-6419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA WELLCARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A",
"authorized_official_last_name": "KILUVIA",
"authorized_official_first_name": "MODDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-353-1985",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1922073261",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "other",
"affiliation": "N",
"address_1": "330 E 38th St Apt 9L",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100162765",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Desktop",
"affiliation": "N",
"address_1": "330 E 38th St Apt 9L",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100162765",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Desktop",
"affiliation": "N",
"address_1": "330 E 38th St Apt 9L",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100162765",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.