Individual provider Active NPI

Alice U Alaka, M.S. SPECIAL ED

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1811243629
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
400 Lake Ave
Staten Island, NY 10303-2629
Phone
(718) 720-2245
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

400 Lake Ave
Staten Island, NY 10303-2629

Mailing address

76 Orange Ave
Staten Island, NY 10302-2038
Phone (718) 701-1654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1811243629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ORANGE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022038",
            "telephone_number": "718-701-1654",
            "fax_number": "718-559-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032629",
            "telephone_number": "718-720-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAKA",
        "first_name": "ALICE",
        "middle_name": "U",
        "name_prefix": "Mrs.",
        "credential": "M.S. SPECIAL ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.