Individual provider Active NPI

Alexandra Fay Gross

  • Family Nurse Practitioner
  • Massapequa, NY
National Provider Identifier
1477094399
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341503 Issued in NY
Practice address
106 Commonwealth Ave
Massapequa, NY 11758-4138
Phone
(516) 663-2829
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341503 NY Primary

Addresses

Primary practice location

106 Commonwealth Ave
Massapequa, NY 11758-4138

Mailing address

106 Commonwealth Ave
Massapequa, NY 11758-4138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agross296893@nyumc.direct-ci.com Other NYU Langone

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
I20170505000416 NY Practitioner - Nurse Practitioner 8820375587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341503NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince Jun 1, 2024 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
New Health Medical New York PC CurrentSince Nov 8, 2024 Accepting new patients

Locations

401 Willoughby Ave
Brooklyn, NY 11205

4426 18th Ave
#13202
Brooklyn, NY 11204
Phone (917) 863-8499

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

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.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1477094399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COMMONWEALTH AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COMMONWEALTH AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584138",
            "telephone_number": "516-663-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ALEXANDRA",
        "middle_name": "FAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agross296893@nyumc.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "NYU Langone",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "address_1": "106 Commonwealth Ave",
            "city": "Massapequa",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117584138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.