Marie C Alexis, NP
Individual provider Active NPI Family Nurse Practitioner · Fresh Meadows, NY
NPI 1801495189 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1801495189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F346470-01 (NY)
- Practice address
- 19304 Horace Harding Expy Apt 2F
Fresh Meadows, NY 11365-2820 - Phone
- (718) 276-7935
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F | NY | MD | Adult Health Nurse Practitioner |
| F346470-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expert Medical Services LLC | Past |
Accepting new patients |
Interoperability endpoints
- malexis@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F | NY | |
| Family Nurse Practitioner | 363LF0000X | F346470-01 | NY | Yes |
Addresses
Primary practice location
19304 Horace Harding Expy Apt 2F
Fresh Meadows, NY 11365-2820
Mailing address
19304 Horace Harding Expy Apt 2F
Fresh Meadows, NY 11365-2820
Phone (718) 276-7935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Medicaid | NY |
Other providers in Fresh Meadows, NY
- Eman Alamin
- Alan Antonelli M.D. PC
- Yelena Alayeva
- Nelson Alcaraz
- Evelyn Aldapa
- Sana Ali
- Eldina Alibabic
- Rachel Alishayev
- David Allayev
- Sara M Allayev
All providers in Fresh Meadows, 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 Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.