Individual provider Active NPI

Alicia D Zalka, M.D.

  • Dermatology Physician
  • Fishkill, NY
National Provider Identifier
1740285097
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
190994-1 Issued in NY
Practice address
200 Westage Business Ctr Dr Ste 228
Fishkill, NY 12524-2268
Phone
(845) 485-5000
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 034517 CT
Dermatology Physician 207N00000X 190994-1 NY Primary

Addresses

Primary practice location

200 Westage Business Ctr Dr Ste 228
Fishkill, NY 12524-2268

Mailing address

56 Main St
Poughkeepsie, NY 12601-2948
Phone (845) 485-5000

Other identifiers 1

IdentifierTypeStateIssuer
001345174MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110215000785 CT Practitioner - Dermatology 1759561277 Reassigns benefits to 2 organizations
I20240404003169 NY Practitioner - Dermatology 1759561277 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190994-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Western Connecticut, PC CurrentSince Jul 6, 1995 Accepting new patients
Parisi Dermatology, PLLC Dermatology CurrentSince Apr 1, 2024 Accepting new patients

Locations

131 Kent Rd
Bldg B
New Milford, CT 06776
Phone (845) 485-5000

120 Park Lane Rd
Ste A203
New Milford, CT 06776
Phone (203) 792-4151

170 Mount Pleasant Rd
Ste 201
Newtown, CT 06470
Phone (203) 792-4151

10 South St
Ridgefield, CT 06877
Phone (203) 403-3490

200 Westage Business Ctr Dr
Ste 228
Fishkill, NY 12524
Phone (845) 430-4713

56 Main St
Poughkeepsie, NY 12601
Phone (845) 430-4713

Interoperability endpoints

  • Direct secure messaging: azalka@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1740285097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012948",
            "telephone_number": "845-485-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 228",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242268",
            "telephone_number": "845-485-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALKA",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "034517",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "190994-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001345174",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.