Alvin Abella
Individual provider Active NPI Acute Care Nurse Practitioner · New York, NY
NPI 1588068233 · NPPES record last updated Nov 13, 2014
Key facts
- NPI
- 1588068233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- F430866-1 (NY)
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (212) 305-9876
- Fax
- (914) 709-8165
- NPI assigned
- Oct 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trustees of Columbia University in the City of New York
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
- New York-Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150116000906 | NY | Practitioner - Nurse Practitioner | 1355665548 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F430866-1 | NY | MD | Acute Care Nurse Practitioner |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients | |
| Trustees of Columbia University in the City of New York | Acute Care | Current |
Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients |
Locations
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 5505
New York, NY 10032
Phone (212) 305-6494
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- ala9039@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F430866-1 | NY | Yes |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032-3720
Mailing address
501 Reis Ave
Oradell, NJ 07649-2623
Phone (201) 483-6707
Other providers in New York, NY
- Allan Singson Abeleda
- Graciela Esther Abelin
- Mireille Abelin
- Asa Abeliovich
- Dina Abell
- Benjamin S. Abella
- Janette B Abella
- Jineth Alexandra Abella
- Jun Rose Abella
- Rachel Abella
All providers in New York, NY · Acute Care Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.