NPIMap

Individual provider Active NPI

Jessica Alvelo, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1629502174
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
NA Issued in NY
Practice address
370 Fort Washington Ave Apt 211
New York, NY 10033-6825
Phone
(347) 514-1924
NPI assigned
Apr 11, 2017
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X NA NY Primary

Addresses

Primary practice location

370 Fort Washington Ave Apt 211
New York, NY 10033-6825

Mailing address

370 Fort Washington Ave Apt 211
New York, NY 10033-6825
Phone (347) 514-1924

Other names 1

  • Jessica Buckley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514002175 NY Practitioner - Emergency Medicine 1052720430 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

525 E 68TH St
Emergency Physicians Dept
New York, NY 10021-4870
Phone (646) 962-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Single Specialty CurrentSince Feb 4, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Weill Medical College of Cornell Single Specialty CurrentSince May 1, 2024 Accepting new patients
Weill Medical College of Cornell Single Specialty CurrentSince May 1, 2024 Accepting new patients
Weill Medical College of Cornell Single Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty Current Accepting new patients
Fpa Hospital Based Single Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 4, 2024 Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

300 Community Dr
Manhasset, NY 11030

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672

Organizations & group practices 12

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1629502174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 FORT WASHINGTON AVE APT 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336825",
            "telephone_number": "347-514-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 FORT WASHINGTON AVE APT 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336825",
            "telephone_number": "347-514-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVELO",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BUCKLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.