Elizabeth Alicea, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

486009-1 Issued in NY

Practice address

28 Fairdale Dr
Brentwood, NY 11717-1338

Phone

(631) 745-9951

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487797023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FAIRDALE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171338",
            "telephone_number": "631-745-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 FAIRDALE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171338",
            "telephone_number": "631-745-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "486009-1",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "486009-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02128123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo E Albornoz, DDS
• Joanne Beth Alexander, RN
• Jennifer Alexandre
• Sandy Alexandre, LPN
• Syed Ali
• Melissa Ann Alkire, LMT
• Manuel Tomas Almanzar, INTERN
• Amy Altobelli, RN
• Daniella Alviar, MD
• Galal Y Alzokm, MSW

• Community Health Registered Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.