Individual provider Active NPI

Shamara Alterno

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1902258338
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403020 Issued in NY
Practice address
323 Winthrop St
Brooklyn, NY 11225-3813
Phone
(718) 975-2270
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 624165 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 341586 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403020 NY Primary

Addresses

Primary practice location

323 Winthrop St
Brooklyn, NY 11225-3813

Mailing address

323 Winthrop St
Brooklyn, NY 11225-3813

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
I20190318001460 NY Practitioner - Nurse Practitioner 2264780667 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

323 Winthrop St
Brooklyn, NY 11225-3813
Phone (917) 767-0309

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
624165NYMDRegistered Nurse
341586NYMDFamily Nurse Practitioner
403020NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ag Urgent Care, P.C. Single Specialty CurrentSince Jan 30, 2019 Accepting new patients
NP in Family Health and Psychiatry PC Single Specialty CurrentSince Jun 2, 2022 Accepting new patients
Kings Medical Family Practice PC Single Specialty CurrentSince Jan 30, 2019 Accepting new patients
Modern Physician Services PC Single Specialty CurrentSince Feb 2, 2025 Accepting new patients
Mara Health Solutions LLC Current Accepting new patients

Locations

1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903

1349 Broadway
Brooklyn, NY 11221
Phone (425) 216-8810

4809 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4120

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

16814 Jamaica Ave
Jamaica, NY 11432
Phone (718) 650-5553

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

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.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1902258338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WINTHROP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WINTHROP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253813",
            "telephone_number": "718-975-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTERNO",
        "first_name": "SHAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "624165",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341586",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.