Active NPI
Alisa Altman, M.D.
- Pediatrics Physician
- Huntington Station, NY
National Provider Identifier
1821031303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 231200
- Practice address
- 180 E Pulaski Rd
Huntington Station, NY 11746-1915 - Phone
- (631) 425-2110
- Fax
- (631) 425-2133
- NPI assigned
- Jun 13, 2006
- Last updated
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 231200 | NY | Primary |
Addresses
Primary practice location
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Mailing address
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (631) 425-2110
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6B4311 | Other | NY | EMPIRE BC.BS |
| 7715242 | Other | NY | AETNA |
| 02151086 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwell Health | Current | Accepting new patients |
Interoperability endpoints
- alisaaltman@northwell.allscriptsdirect.net
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.
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- NPI 1619336260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1821031303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 E PULASKI RD",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461915",
"telephone_number": "631-425-2110",
"fax_number": "631-425-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E PULASKI RD",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461915",
"telephone_number": "631-425-2110",
"fax_number": "631-425-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "ALISA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "231200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "6B4311",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7715242",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02151086",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.