Individual provider Active NPI

Jacqueline Alleva, FNP-BC

  • Family Nurse Practitioner
  • Mount Kisco, NY
National Provider Identifier
1619326352
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339442-1 Issued in NY
Practice address
110 South Bedford Rd
Mount Kisco, NY 10595-3412
Phone
(914) 241-1050
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 339442 NY
Family Nurse Practitioner 363LF0000X F339442-1 NY Primary

Addresses

Primary practice location

110 South Bedford Rd
Mount Kisco, NY 10595-3412

Mailing address

1601 Pondcrest LN
White Plains, NY 10607-1355
Phone (845) 216-5469

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929000539 NY Practitioner - Nurse Practitioner 7012204423 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339442NYMDNurse Practitioner
F339442-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP CurrentSince Oct 22, 2017 Accepting new patients
Physicians Medical Associates New York PC CurrentSince Jul 1, 2024 Accepting new patients
Boston Children'S Health Physicians, LLP CurrentSince Oct 22, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jul 1, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 1, 2017 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 6, 2016 Accepting new patients
Physicians Medical Associates New York PC Current Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 6, 2016 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606

19 Bradhurst Ave
Ste 3040N
Hawthorne, NY 10532
Phone (914) 493-2363

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

755 N Broadway
Ste 400
Sleepy Hollow, NY 10591
Phone (914) 366-3400

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Philadelphia, PA 19195

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jalleva595926@direct.ynhh.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1619326352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PONDCREST LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071355",
            "telephone_number": "845-216-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH BEDFORD RD",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105953412",
            "telephone_number": "914-241-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEVA",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "339442",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339442-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.