Active NPI
Mark U Alvarado, MD
- Addiction Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1821090663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 229671
- Practice address
- 514 49TH St
Sunset Terrace Family Health Center
Brooklyn, NY 11220-2010 - Phone
- (718) 437-5235
- Fax
- (718) 437-5239
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 25MA05668900 | NJ | |
| Addiction Psychiatry Physician | 2084P0802X | 229671 | NY | Primary |
Addresses
Primary practice location
514 49TH St
Sunset Terrace Family Health Center
Brooklyn, NY 11220-2010
Mailing address
514 - 49TH Street
Sunset Terrace Family Health Center
Brooklyn, NY 11220
Phone (718) 437-5235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5314500 | Medicaid | NJ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05668900 | NJ | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacrest Medical Associates, P.a. | Addiction Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1821090663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 - 49TH STREET",
"address_2": "SUNSET TERRACE FAMILY HEALTH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11220",
"telephone_number": "718-437-5235",
"fax_number": "718-437-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 49TH ST",
"address_2": "SUNSET TERRACE FAMILY HEALTH CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202010",
"telephone_number": "718-437-5235",
"fax_number": "718-437-5239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "MARK",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NJ",
"license": "25MA05668900",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "229671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5314500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.