Individual provider Active NPI

Alicia Cecilia Cecilia Lozano Medina, RN

  • Registered Nurse
  • Sunnyside, NY
National Provider Identifier
1578278065
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
861469 Issued in NY
Practice address
4404 Queens Blvd
Sunnyside, NY 11104-2406
Phone
(718) 706-1663
NPI assigned
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 861469 NY Primary

Addresses

Primary practice location

4404 Queens Blvd
Sunnyside, NY 11104-2406

Mailing address

4404 Queens Blvd
Sunnyside, NY 11104-2406
Phone (718) 706-1663

Other names 1

  • Alicia Cecilia Adhikari Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
861469NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Providers of Western Queens, Inc. CurrentSince Jan 22, 2023 Accepting new patients

Locations

4404 Queens Blvd
Sunnyside, NY 11104
Phone (718) 706-1662

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1578278065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 QUEENS BLVD",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042406",
            "telephone_number": "718-706-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 QUEENS BLVD",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042406",
            "telephone_number": "718-706-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO MEDINA",
        "first_name": "ALICIA CECILIA",
        "middle_name": "CECILIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "861469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "ADHIKARI",
            "middle_name": "CECILIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.