Individual provider Active NPI

Alicia Shakira Hamid, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Greenvale, NY
National Provider Identifier
1831846948
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04210645 Issued in NY
Practice address
2200 Northern Blvd Ste 133
Greenvale, NY 11548-1226
Phone
(516) 352-8100
Fax
(516) 352-7348
NPI assigned
Mar 8, 2022
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F04210645 NY Primary

Addresses

Primary practice location

2200 Northern Blvd Ste 133
Greenvale, NY 11548-1226

Mailing address

2200 Northern Blvd Ste 133
Greenvale, NY 11548-1226
Phone (516) 352-8100

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
I20230515002420 NY Practitioner - Nurse Practitioner 3072979137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Internal Medicine Group PCGroup PAC ID 5496647208, 5 clinicians

Practice addresses (Care Compare)

2200 Northern Blvd
Suite 133
Greenvale, NY 11548-1226
Phone (516) 352-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F04210645NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine Group PC CurrentSince Jan 31, 2023 Accepting new patients

Locations

2200 Northern Blvd
Ste 133
Greenvale, NY 11548
Phone (516) 352-8100

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1831846948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 133",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481226",
            "telephone_number": "516-352-8100",
            "fax_number": "516-352-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 133",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481226",
            "telephone_number": "516-352-8100",
            "fax_number": "516-352-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID",
        "first_name": "ALICIA",
        "middle_name": "SHAKIRA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F04210645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

Verify at the official NPI Registry.