Alicia Longani, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA6269 Issued in MA

Practice address

1019 Trapelo Rd
Waltham, MA 02452-5002

Phone

(781) 736-1800

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patriot Urgent Care Professionals PCGroup PAC ID 8820248784, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Patriot Urgent Care Professionals, PC

  • Urgent Care Clinic/Center
  • Waltham, MA
  • NPI 1417205105
  Medicare reassignment Care Compare group
• DRX UC Watertown PC

  • Urgent Care Clinic/Center
  • Watertown, MA
  • NPI 1164772299
  Medicare reassignment NPD
• Patriot Urgent Care Professionals PC

  • Urgent Care Clinic/Center
  • Cambridge, MA
  • NPI 1245123587
  NPD
• Patriot Urgent Care Professionals PC

  • Urgent Care Clinic/Center
  • Attleboro, MA
  • NPI 1356159172
  NPD
• Ocean State Urgent Care Center of Woonsocket

  • Family Medicine Physician
  • Woonsocket, RI
  • NPI 1073973574
  NPD

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1528430337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 TRAPELO RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525002",
            "telephone_number": "781-736-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643843",
            "country_code": "US",
            "telephone_number": "401-642-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGANI",
        "first_name": "ALICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00848",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Loi, CRNA
• Kayla Lombardo, DPT
• Tessa Londregan, DPT
• Arthur Long, PT, DPT
• Nicholas Long
• Miriam Lopes Nakasi, PMHNP
• Elizabeth Freeman Lopes
• Joshua Lopez
• Tania Lorenzana-Serrano
• Lotus Transportation LLC

• Medical Physician Assistant in Waltham, MA
• Providers in Waltham, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.