Alexandra Despina Fontana, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F351883 Issued in NY

Practice address

340 Howells Rd Ste 2B
Bay Shore, NY 11706-5322

Phone

(833) 547-7463

Fax

(631) 318-9830

NPI assigned

Nov 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Shore Medical Healthcare PCGroup PAC ID 3173016300, 3 clinicians

Mwe Medical PCGroup PAC ID 5991220048, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFBACA

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.

• Bay Shore Medical Healthcare PC

  • General Practice Physician
  • Bay Shore, NY
  • NPI 1730946948
  Medicare reassignment Care Compare group NPD
• Mwe Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Massapequa, NY
  • NPI 1730983008
  Medicare reassignment Care Compare group NPD
• Amit Sharma MD PC

  • Interventional Pain Medicine Physician
  • Bay Shore, NY
  • NPI 1669014197
  NPD
• Brookhaven Gastroenterology Associates, P.C.

  • Gastroenterology Physician
  • E Patchogue, NY
  • NPI 1447456652
  NPD (past)

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1700652013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOTOR PKWY STE LL8",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "833-547-7463",
            "fax_number": "631-318-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD STE 2B",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065322",
            "telephone_number": "833-547-7463",
            "fax_number": "631-318-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Commack Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253405",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-318-9830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hempstead Tpke Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117145707",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-318-9830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117436987",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-318-9830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "ALEXANDRA",
        "middle_name": "DESPINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Flores
• Gianna Maria Florez, PA
• Flushing Ultrasound Services Inc.
• Michael James Flynn, OTR
• Mark Thomas Foehr, M.D.
• Dominique Footman
• Michelle Forde, NP
• Alexis Fordyce
• Peter Joseph Forgione, PA-C
• Janet R Forte

• Family Nurse Practitioner in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.