Individual provider Active NPI

Alexandria Medina, DC

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1366313264
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013707-01 Issued in NY
Practice address
52 Route 17K Ste 203
Newburgh, NY 12550-3920
Phone
(845) 565-5410
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013707-01 NY Primary

Addresses

Primary practice location

52 Route 17K Ste 203
Newburgh, NY 12550-3920

Mailing address

640 Pelham Rd Apt 3B
New Rochelle, NY 10805-1007

Other names 1

  • Dr. Ali Medina Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218004263 NY Practitioner - Chiropractic 4486149275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innate Chiropractic PCGroup PAC ID 6800089913, 4 clinicians

Practice addresses (Care Compare)

52 Route 17K
Suite 203
Newburgh, NY 12550-3920
Phone (845) 565-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013707-01NYMDChiropractor
013707NYMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Chiropractic PC Chiropractor CurrentSince Oct 2, 2025 Accepting new patients

Locations

52 Route 17K
Ste 203
Newburgh, NY 12550
Phone (845) 392-6763

Organizations & group practices 1

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1366313264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PELHAM RD APT 3B",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ROUTE 17K STE 203",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503920",
            "telephone_number": "845-565-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013707-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "MEDINA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.