Individual provider Active NPI

Alison Aliazzo

  • Social Worker
  • New York, NY
National Provider Identifier
1609495779
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107048-01 Issued in NY
Practice address
535 5TH Ave FL 16
New York, NY 10017-3689
Phone
(917) 882-6680
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107048-01 NY Primary

Addresses

Primary practice location

535 5TH Ave FL 16
New York, NY 10017-3689

Mailing address

205 E 95TH St Apt 19M
New York, NY 10128-4091
Phone (917) 882-6680

Other identifiers 1

IdentifierTypeStateIssuer
107048-01OtherNYLICENSED MASTER SOCIAL WORKER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alison.aliazzo@jagtheracoach.com
Direct Messaging Address alison.aliazzo@jagtheracoach.com

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

State licenses

LicenseStateTypeSpecialty
107048-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1609495779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 95TH ST APT 19M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284091",
            "telephone_number": "917-882-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173689",
            "telephone_number": "917-882-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIAZZO",
        "first_name": "ALISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107048-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTER SOCIAL WORKER",
            "identifier": "107048-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alison.aliazzo@jagtheracoach.com",
            "affiliation": "N",
            "address_1": "535 5th Ave Fl 16",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100173689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alison.aliazzo@jagtheracoach.com",
            "affiliation": "N",
            "address_1": "535 5th Ave Fl 16",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100173689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.