Individual provider Active NPI

Alondra Villanueva Sanchez, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1770310831
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311912-01 Issued in NY
Practice address
331 Knickerbocker Ave
Brooklyn, NY 11237-3601
Phone
(718) 400-1444
Fax
(718) 400-1244
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F311912-01 NY Primary

Addresses

Primary practice location

331 Knickerbocker Ave
Brooklyn, NY 11237-3601

Mailing address

6829 Myrtle Ave
Glendale, NY 11385-7234
Phone (646) 281-3259

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
I20241127000654 NY Practitioner - Nurse Practitioner 2163957192 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
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F311912-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Sep 30, 2024 Accepting new patients
Vantage Medical Associates PC PastSince Sep 1, 2024 Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients
Doral Pharmacy LLC PastSince Sep 30, 2024 Accepting new patients

Locations

331 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 286-0741

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

391 Eastern Pkwy
Ste A
Brooklyn, NY 11216
Phone (347) 286-0741

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

1220 E New York Ave
Brooklyn, NY 11212
Phone (718) 221-0010

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1770310831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234",
            "telephone_number": "646-281-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373601",
            "telephone_number": "718-400-1444",
            "fax_number": "718-400-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA SANCHEZ",
        "first_name": "ALONDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311912-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.