Active NPI
Alicia Villaescusa Karagianes, PA
- Physician Assistant
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA209966
- Practice address
- 205 E Laurel Rd
Stratford, NJ 08084-1301 - Phone
- (844) 542-2273
- Fax
- (856) 282-6511
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00539600 | NJ | |
| Physician Assistant | 363A00000X | MA060529 | PA | |
| Physician Assistant | 363A00000X | PA209966 | OR | Primary |
Addresses
Primary practice location
205 E Laurel Rd
Stratford, NJ 08084-1301
Mailing address
205 E Laurel Rd
Stratford, NJ 08084-1301
Phone (844) 542-2273
Other practice location 1
565 Egg Harbor Rd
Sewell, NJ 08080-2335
Phone (844) 542-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00539600 | NJ | MD | Physician Assistant |
| PA209966 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Northwest Acute Care Specialists PC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Emergency Medicine Physician
- Portland, OR
- NPI 1215983200
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Emergency Medicine Physician
- Vancouver, WA
- NPI 1487811048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1497218036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E LAUREL RD",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841301",
"telephone_number": "844-542-2273",
"fax_number": "856-282-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E LAUREL RD",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841301",
"telephone_number": "844-542-2273",
"fax_number": "856-282-6511"
}
],
"practiceLocations": [
{
"address_1": "565 Egg Harbor Rd",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080802335",
"country_code": "US",
"telephone_number": "844-542-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARAGIANES",
"first_name": "ALICIA",
"middle_name": "VILLAESCUSA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00539600",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060529",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA209966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.