Individual provider Active NPI

Alexis Uria, PA-C

  • Physician Assistant
  • White Plains, NY
National Provider Identifier
1790512887
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
033110 Issued in NY
Practice address
4 Westchester Park Dr
White Plains, NY 10604-3497
Phone
(914) 517-8056
Fax
(914) 948-0351
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7100 CT
Medical Physician Assistant 363AM0700X NY
Physician Assistant 363A00000X 033110 NY Primary

Addresses

Primary practice location

4 Westchester Park Dr
White Plains, NY 10604-3497

Mailing address

4 Westchester Park Dr
White Plains, NY 10604-3497
Phone (914) 517-8056

Other practice location 1

78 Oxford Blvd
Garden City, NY 11530-2714
Phone (516) 643-2258

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
I20250425000140 NY Practitioner - Physician Assistant 5496271181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Spine Surgeons of New York PCGroup PAC ID 7113818139, 24 clinicians

Practice addresses (Care Compare)

4 Westchester Park Dr
FL 4
White Plains, NY 10604-3434
Phone (914) 948-8448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7100CTMDSpeech-Language Pathologist

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, 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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1790512887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESTCHESTER PARK DR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043497",
            "telephone_number": "914-517-8056",
            "fax_number": "914-948-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTCHESTER PARK DR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043497",
            "telephone_number": "914-517-8056",
            "fax_number": "914-948-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Oxford Blvd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302714",
            "country_code": "US",
            "telephone_number": "516-643-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URIA",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "7100",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.