Alfakelly M Henriquez
Individual provider Active NPI Family Nurse Practitioner · Stony Point, NY
NPI 1760083083 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1760083083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F355535-01 (NY)
- Practice address
- 29 Hastings LN
Stony Point, NY 10980-1020 - Phone
- (845) 538-2054
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
3400 Bainbridge Ave
Bronx, NY 10467-2404
Phone (914) 378-6148
Hospital & facility affiliations
- Montefiore Medical Center
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 |
|---|---|---|---|---|
| I20250508001350 | NY | Practitioner - Nurse Practitioner | 1951828391 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 787089 | NY | MD | Registered Nurse |
| F355535-01 | NY | MD | Family Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current |
Accepting new patients | |
| Ocean NP in Family Health PLLC | Family | Current |
Accepting new patients |
| Montefiore Medical Center | Current |
Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
475 New Hempstead Rd
New City, NY 10956
Phone (347) 829-6863
100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ahenriquez@montefioredirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 787089 | NY | |
| Family Nurse Practitioner | 363LF0000X | F355535-01 | NY | Yes |
Addresses
Primary practice location
29 Hastings LN
Stony Point, NY 10980-1020
Mailing address
29 Hastings LN
Stony Point, NY 10980-1020
Other providers in Stony Point, NY
- Neena Grewal
- Perminder S Grewal
- Carol Guarino
- Margaret Murdoch Hagerty
- Hema Dave, D.O. PC
- Grace Henriquez
- Roseanne Herbert
- Mariluz Hernandez
- Nina Marie Heugas
- Tiffany Hill
All providers in Stony Point, NY · Family 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 Dec 12, 2024. 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.