Active NPI
Aisha Alexis
- Public Health or Welfare Agency
- New York, NY
National Provider Identifier
1609584507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 117734-01
- Practice address
- 2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941 - Phone
- (212) 553-6751
- NPI assigned
- Nov 9, 2022
- Last updated
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 117734-01 | NY | Primary |
Addresses
Primary practice location
2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941
Mailing address
16318 Jamaica Ave
Jamaica, NY 11432-4919
Phone (347) 844-0137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117734-01 | Other | NY | LMSW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117734-01 | NY | MD | Public Health or Welfare Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1609584507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16318 JAMAICA AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324919",
"telephone_number": "347-844-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 ADAM CLAYTON POWELL JR BLVD FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274941",
"telephone_number": "212-553-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXIS",
"first_name": "AISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NY",
"license": "117734-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "117734-01",
"state": "NY"
}
],
"endpoints": [],
"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 Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.