Active NPI
Adela Alonso
- Specialist
- New York, NY
National Provider Identifier
1679861983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 500110
- Practice address
- 465 Grand Street
2ND Floor
New York, NY 10002 - Phone
- (212) 420-1999
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 500110 | NY | Primary |
Addresses
Primary practice location
465 Grand Street
2ND Floor
New York, NY 10002
Mailing address
109-10 Queens Blvd
Apt 3B
Forest Hills, NY 11375
Phone (646) 406-1217
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 |
|---|---|---|---|
| 500110 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1679861983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109-10 QUEENS BLVD",
"address_2": "APT 3B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "646-406-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 GRAND STREET",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "212-420-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "ADELA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "500110",
"primary": true
}
],
"identifiers": [],
"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 Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.