Individual provider Active NPI

Alexis Teresa Kearney, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1760297634
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356010 Issued in NY
Practice address
1751 York Ave
New York, NY 10128-6828
Phone
(212) 879-3496
Fax
(212) 879-3724
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 356010 NY Primary

Addresses

Primary practice location

1751 York Ave
New York, NY 10128-6828

Mailing address

1751 York Ave
New York, NY 10128-6828
Phone (212) 879-3496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003003097 NY Practitioner - Nurse Practitioner 5395241707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1751 York Ave
New York, NY 10128-6828
Phone (212) 879-3496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
356010NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Oncology Associates PLLC Dba American Infusion Center CurrentSince Aug 1, 2025 Accepting new patients

Locations

1751 York Ave
New York, NY 10128
Phone (212) 369-2490

35 W 45th St
Fl 6
New York, NY 10036
Phone (212) 400-8384

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1760297634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-879-3496",
            "fax_number": "212-879-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-879-3496",
            "fax_number": "212-879-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "ALEXIS",
        "middle_name": "TERESA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.