Active NPI
Alina Pena Adames
- Family Nurse Practitioner
- Kew Gardens, NY
National Provider Identifier
1710823281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 359551
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 359551 | NY | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.