Individual provider Active NPI

Joseph Ali, N.P.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1417238403
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401554 Issued in NY
Practice address
11 Marshall Rd Ste 2L
Wappingers Falls, NY 12590-4134
Phone
(845) 679-5262
NPI assigned
Sep 2, 2011
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401554 NY Primary

Addresses

Primary practice location

11 Marshall Rd Ste 2L
Wappingers Falls, NY 12590-4134

Mailing address

1 Van Dale CT
Woodstock, NY 12498-2615

Other identifiers 1

IdentifierTypeStateIssuer
03759051MedicaidNY

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
I20180308001011 NY Practitioner - Nurse Practitioner 2961763933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anne M Paden N P P CGroup PAC ID 7012450026, 4 clinicians

Practice addresses (Care Compare)

11 Marshall Rd
Suite 2L
Wappingers Falls, NY 12590-4134
Phone (845) 298-4350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anne M Paden N P P C Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients

Locations

11 Marshall Rd
Ste 2L
Wappingers Fl, NY 12590
Phone (845) 298-4350

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, 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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1417238403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VAN DALE CT",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARSHALL RD STE 2L",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904134",
            "telephone_number": "845-679-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "N.P.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03759051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.