Active NPI
Alfa Queny Reynolds, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403637
- Practice address
- 5030 Broadway Ste 201
New York, NY 10034-1675 - Phone
- (212) 795-9888
- NPI assigned
- Apr 13, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 701635 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403637 | NY | Primary |
Addresses
Primary practice location
5030 Broadway Ste 201
New York, NY 10034-1675
Mailing address
135 W 50TH St
New York, NY 10020-1201
Phone (646) 648-6243
Other practice location 1
55 Westchester Sq
Bronx, NY 10461-3525
Phone (718) 931-4045
Other names 1
- Alfa De la Cruz
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
Enrollment records 1
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
Practice addresses (Care Compare)
21 Grand St
Newburgh, NY 12550-5628
Phone (845) 562-7244
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.65 of 100
- Quality
- 71.56
- Promoting interoperability
- 74
- Improvement activities
- 40
- Cost
- 87.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 701635 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family and Children'S Services, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Beacon Place LLC | Current | Accepting new patients | |
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Access: Supports for Living Inc. | Current | Accepting new patients | |
| Access: Supports for Living Inc | Current | Accepting new patients |
Locations
55 Westchester Sq
Bronx, NY 10461
Phone (718) 239-6149
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
583 State Route 32
Ste 5U
Highland Mills, NY 10930
Phone (845) 827-6680
583 State Route 32
Highland Mls, NY 10930
Phone (845) 203-1400
5030 Broadway
Ste 201
New York, NY 10034
Phone (212) 632-4749
67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850
21 Grand St
Newburgh, NY 12550
Phone (845) 562-7244
15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Middletown, NY
- NPI 1528174976
-
- Adult Day Care Clinic/Center
- Highland Mills, NY
- NPI 1326429630
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1790326320
-
dba The Jewish Board
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Psychiatric/Mental Health
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1841654092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W 50TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201201",
"telephone_number": "646-648-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 BROADWAY STE 201",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341675",
"telephone_number": "212-795-9888"
}
],
"practiceLocations": [
{
"address_1": "55 Westchester Sq",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104613525",
"country_code": "US",
"telephone_number": "718-931-4045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ALFA QUENY",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "701635",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALFA",
"last_name": "DE LA CRUZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.