Juan Andres Alba, M.D.,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

204149 Issued in NY

Practice address

29 Wadsworth Ave
Suite 1B
New York, NY 10033-7055

Phone

(212) 928-1366

Fax

(212) 928-1368

NPI assigned

Oct 27, 2006

Last updated

Feb 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDAFAA
• FHIR API: https://fhir4.healow.com/fhir/r4/FDAFAA/Endpoint/FDAFAA

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.

• Juan a. Alba, MDPC

  • Family Medicine Physician
  • New York, NY
  • NPI 1144071978
  NPD Authorized official
• Marc Waldman,DPM PC

  • Foot Surgery Podiatrist
  • Jackson Heights, NY
  • NPI 1093992828
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1578649059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SYLVAN AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076052027",
            "telephone_number": "201-944-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WADSWORTH AVE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337055",
            "telephone_number": "212-928-1366",
            "fax_number": "212-928-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBA",
        "first_name": "JUAN",
        "middle_name": "ANDRES",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01754810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaiane Alawode
• Qais Alawqati, M.D.
• Elena Alayeto, LCSW
• Farah Alayyoubi
• Alb Therapy LCSW, PLLC
• Kimberly Alba, PSY.D.
• Stephanie Alba X
• Alban Acupuncture PC
• Daniel Alban, MD
• Joseph Perry Alban, M.S., L.AC

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.