Individual provider Active NPI

Elisa Alleyne, NP

  • Family Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1871807180
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344976 Issued in NY
Practice address
34-29 83Rd Street
Jackson Heights, NY 11372
Phone
(718) 424-7800
Fax
(718) 424-0888
NPI assigned
Jul 28, 2010
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 F344976 NY Primary

Addresses

Primary practice location

34-29 83Rd Street
Jackson Heights, NY 11372

Mailing address

34-29 83Rd Street
Jackson Heights, NY 11372
Phone (718) 424-7800

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
I20210325002480 NY Practitioner - Nurse Practitioner 9537576194 Reassigns benefits to 3 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
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

4564 Francis Lewis Blvd
Suite 202
Bayside, NY 11361-3047
Phone (631) 751-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344976NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheryl a Pearl MD PC CurrentSince May 21, 2021 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Dec 1, 2022 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince May 1, 2020 Accepting new patients
Verdun Home Health Care Inc Past Accepting new patients
Verdun Home Health Care Inc Past Accepting new patients

Locations

4564 Francis Lewis Blvd
Ste 202
Bayside, NY 11361

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, 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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1871807180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-29 83RD STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-7800",
            "fax_number": "718-424-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-29 83RD STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-424-7800",
            "fax_number": "718-424-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE",
        "first_name": "ELISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.