Individual provider Active NPI

Alina Pena Adames

  • Family Nurse Practitioner
  • Kew Gardens, NY
National Provider Identifier
1710823281
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
359551 Issued in NY
Practice address
12510 Queens Blvd Ste 2701
Kew Gardens, NY 11415-1511
Phone
(718) 261-0444
NPI assigned
Apr 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 359551 NY Primary

Addresses

Primary practice location

12510 Queens Blvd Ste 2701
Kew Gardens, NY 11415-1511

Mailing address

258 Madison St
Mamaroneck, NY 10543-1817
Phone (929) 276-9908

Other practice location 1

444 E Boston Post Rd
Mamaroneck, NY 10543-3708
Phone (914) 200-1243

Other practice location 2

8708 Justice Ave
Elmhurst, NY 11373-4575
Phone (718) 424-0339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
359551NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1710823281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MADISON ST",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431817",
            "telephone_number": "929-276-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD STE 2701",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151511",
            "telephone_number": "718-261-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 E Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105433708",
            "country_code": "US",
            "telephone_number": "914-200-1243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8708 Justice Ave",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734575",
            "country_code": "US",
            "telephone_number": "718-424-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA ADAMES",
        "first_name": "ALINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "359551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.