Active NPI
Jacqueline Alleva, FNP-BC
- Family Nurse Practitioner
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339442-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 339442 | NY | MD | Nurse Practitioner |
| F339442-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Physicians Medical Associates New York PC | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Physicians Medical Associates New York PC | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1073386421
NY
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
NY
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1487409702
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.