Organization Active NPI

Thomas a Alfreda Jr & Associates PC

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1831604784
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1536 Issued in NV
Legal business name
THOMAS A ALFREDA JR & ASSOCIATES PC
Practice address
2779 W Horizon Ridge Pkwy Ste 207
Henderson, NV 89052-4186
Phone
(702) 666-8645
NPI assigned
Dec 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Mary H Swanson
Title
Billing
Phone
(702) 666-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1536 NV Primary

Addresses

Primary practice location

2779 W Horizon Ridge Pkwy Ste 207
Henderson, NV 89052-4186

Mailing address

2779 W Horizon Ridge Pkwy Ste 207
Henderson, NV 89052-4186
Phone (702) 666-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180122002206 NV Part B Supplier - Clinic/Group Practice 4880953728 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2779 W Horizon Ridge Pkwy
Ste 207
Henderson, NV 89052
Phone (702) 666-8645

8551 W Lake Mead Blvd
Ste 281
Las Vegas, NV 89128
Phone (702) 360-7955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1831604784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY STE 207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524186",
            "telephone_number": "702-666-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY STE 207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524186",
            "telephone_number": "702-666-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A ALFREDA JR & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "702-666-8645"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.