Individual provider Active NPI

Alice Kathryn Denicola, FNP

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1821605056
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346862-01 Issued in NY
Practice address
900 Route 376
Wappingers Falls, NY 12590-6494
Phone
(917) 757-3520
NPI assigned
Oct 1, 2020
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346862-01 NY Primary
Registered Nurse 163W00000X 497749 NY

Addresses

Primary practice location

900 Route 376
Wappingers Falls, NY 12590-6494

Mailing address

900 Route 376
Wappingers Falls, NY 12590-6494

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
I20211104001740 NY Practitioner - Nurse Practitioner 6507254992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians
Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians
Ashraf Medical Group PLLCGroup PAC ID 1850560830, 30 clinicians

Practice addresses (Care Compare)

1428 36TH St
Suite 107
Brooklyn, NY 11218-3765
Phone (212) 803-3339

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

225 E 70TH St
Suite 1E
New York, NY 10021-5213
Phone (212) 803-3339

27 New Dorp LN
Staten Island, NY 10306-2349
Phone (212) 803-3339

2960 Victory Blvd
Staten Island, NY 10314-6605
Phone (718) 370-2014

999 Route 6
Suite 1N
Mahopac, NY 10541-1716
Phone (845) 204-9260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
497749NYMDRegistered Nurse
F346862-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fuse Medical PLLC CurrentSince Apr 20, 2024 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Oct 1, 2024 Accepting new patients
Mission Medical Care PC Family CurrentSince Dec 1, 2022 Accepting new patients
Ashraf Medical Group PLLC CurrentSince Sep 28, 2021 Accepting new patients
Syeda I Hasan, M.D.P.C CurrentSince Nov 17, 2022 Accepting new patients
Future Care Registered Professional Nursing PLLC Past Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients
Heart and Heart Rhythm Care, P.C. PastSince Dec 31, 2023 Accepting new patients

Locations (25 of 30)

1862 Pleasantville Rd
Briarcliff Manor, NY 10510
Phone (845) 204-9500

1428 36th St
Ste 107
Brooklyn, NY 11218

2546 E 17th St
Ste 1
Brooklyn, NY 11235
Phone (646) 470-4174

233 Union Ave
Ste 105
Holbrook, NY 11741
Phone (631) 285-7311

141 Washington Ave
Ste 204
Lawrence, NY 11559
Phone (516) 341-0990

917 W Beech St
Long Beach, NY 11561
Phone (516) 689-7580

3636 33rd St
Ste 311
Long Island City, NY 11106
Phone (212) 675-9332

999 Route 6
Mahopac, NY 10541
Phone (845) 628-8700

999 Route 6
Ste 1N
Mahopac, NY 10541

333 E Shore Rd
Ste 201
Manhasset, NY 11030
Phone (516) 829-3044

3144 E Main St
Ste 2C
Mohegan Lake, NY 10547

1991 Marcus Ave
Ste 110
New Hyde Park, NY 11042
Phone (516) 365-8086

175 Memorial Hwy
Ste 1-1
New Rochelle, NY 10801
Phone (914) 235-3535

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

115 Central Park W
Ofc 15
New York, NY 10023

120 E 56th St
Rm 300
New York, NY 10022
Phone (212) 920-3047

225 E 70th St
Ste 1E
New York, NY 10021
Phone (212) 517-4660

30 Broad St
Ste 401
New York, NY 10004
Phone (212) 987-0100

26 Winslow Gate Rd
Bldg C2
Poughkeepsie, NY 12601

696 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 454-8200

696 Dutchess Tpke
Ste G
Poughkeepsie, NY 12603
Phone (845) 218-5007

1228 E Main St
Ste A
Riverhead, NY 11901
Phone 63169643572

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

265 Sunrise Hwy
Ste 1274
Rockville Ctr, NY 11570

609 Hampton Rd
Ste 9
Southampton, NY 11968

Interoperability endpoints

  • Direct secure messaging: adenicola@pulse-mdurgentcare.medentdirect.com

Organizations & group practices 8

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1821605056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906494",
            "telephone_number": "917-757-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENICOLA",
        "first_name": "ALICE",
        "middle_name": "KATHRYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346862-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "497749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.