Individual provider Active NPI

Alicia Nora Morrison, RPA-C

  • Physician Assistant
  • Richmond Hill, NY
National Provider Identifier
1811312333
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017183-1 Issued in NY
Practice address
11110 Jamaica Ave
Richmond Hill, NY 11418-2322
Phone
(718) 847-2688
Fax
(718) 412-9026
NPI assigned
Feb 20, 2014
Last updated
May 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017183-1 NY Primary

Addresses

Primary practice location

11110 Jamaica Ave
Richmond Hill, NY 11418-2322

Mailing address

11110 Jamaica Ave
Richmond Hill, NY 11418-2322
Phone (718) 847-2688

Other practice location 1

5371 65th Pl
Maspeth, NY 11378-1656
Phone (718) 672-3131

Other identifiers 10

IdentifierTypeStateIssuer
2432256POtherNYEMBLEM HEALTH
P017183-A33OtherNYHEALTHFIRST
P5173538OtherNYOXFORD
0209100000OtherNYAFFINITY
05221590MedicaidNY
0OtherT
5464839OtherNYAETNA
YH1706492OtherNYCIGNA
181131233301OtherNYVILLAGECARE MAX
MIDA50025-0OtherNYVNS CHOICE

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
I20160224000171 NY Practitioner - Physician Assistant 2567767908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Towns Heart Imaging Medical P.C.Group PAC ID 5890846380, 11 clinicians

Practice addresses (Care Compare)

650 Central Ave
Cedarhurst, NY 11516-2301
Phone (516) 804-8590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017183-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Professional Medical Care,P.C. CurrentSince May 9, 2021 Accepting new patients
Middle Village Diagnostic Imaging PC PastSince May 9, 2021 Accepting new patients
Ny Family Medical Docs PC Past Accepting new patients

Locations

5371 65th Pl
Maspeth, NY 11378
Phone (718) 672-3131

11110 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 847-2688

Networks

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

Organizations & group practices 6

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1811312333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182322",
            "telephone_number": "718-847-2688",
            "fax_number": "718-412-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182322",
            "telephone_number": "718-847-2688",
            "fax_number": "718-412-9026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5371 65th Pl",
            "address_purpose": "LOCATION",
            "city": "Maspeth",
            "state": "NY",
            "postal_code": "113781656",
            "country_code": "US",
            "telephone_number": "718-672-3131",
            "fax_number": "718-412-9026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ALICIA",
        "middle_name": "NORA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017183-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM HEALTH",
            "identifier": "2432256P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "P017183-A33",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P5173538",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "0209100000",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05221590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5464839",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "YH1706492",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VILLAGECARE MAX",
            "identifier": "181131233301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VNS CHOICE",
            "identifier": "MIDA50025-0",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.