Individual provider Active NPI

Aliza Wachspress, PA-C

  • Physician Assistant
  • Cedarhurst, NY
National Provider Identifier
1447895412
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
474 Oceanpoint Ave
Cedarhurst, NY 11516-1329
Phone
(516) 295-2893
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

474 Oceanpoint Ave
Cedarhurst, NY 11516-1329

Mailing address

474 Oceanpoint Ave
Cedarhurst, NY 11516-1329

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
I20200508001006 NY Practitioner - Physician Assistant 5991136871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lagrangeville Medical PCGroup PAC ID 8527440148, 24 clinicians

Practice addresses (Care Compare)

71 Franklin Ave
Franklin SQ, NY 11010-2523
Phone (845) 738-8770

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024555NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2020 Accepting new patients
New York University CurrentSince Jun 1, 2020 Accepting new patients
New York Gastroenterology Associates LLP Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1447895412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 OCEANPOINT AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 OCEANPOINT AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161329",
            "telephone_number": "516-295-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSPRESS",
        "first_name": "ALIZA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.