Shinu Alex
Individual provider Active NPI Adult Health Nurse Practitioner · Mineola, NY
NPI 1750845475 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1750845475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F308876-1 (NY)
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-4876
- NPI assigned
- Jan 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Medical Care Associates PLLC
New York University
Practice addresses (Care Compare)
Hewlett, NY 11557
Phone (631) 271-9181
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600
Hospital & facility affiliations
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190722003420 | NY | Practitioner - Nurse Practitioner | 7719213255 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308876-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care Associates PLLC | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients |
Locations
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F308876-1 | NY | Yes |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
43 Emmett St
New Hyde Park, NY 11040-2436
Phone (516) 280-4582
Other practice location 1
9709 101st Ave
Ozone Park, NY 11416-2523
Phone (718) 641-5555
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | salex303654@nyumc.direct-ci.com |
Other providers in Mineola, NY
- Christina Makhlouf Alam
- Alan a. Katz M.D. PLLC
- Anne M. Alberto
- Loraine Alderman
- Karla Aleman-Bonilla
- Melissa Ann Alexander
- Pia Alexander
- Reuben Alexander
- Sarah Alexander
- Abdulaziz Khaled Alhussein
All providers in Mineola, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.