Individual provider Active NPI

Deana Aleksandra Alenichko, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1902590573
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3000 Ocean Pkwy Apt 6M
Brooklyn, NY 11235-8328
Phone
(646) 409-3622
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X 435239 NY
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X NY Primary

Addresses

Primary practice location

3000 Ocean Pkwy Apt 6M
Brooklyn, NY 11235-8328

Mailing address

3000 Ocean Pkwy Apt 6M
Brooklyn, NY 11235-8328
Phone (646) 409-3622

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
I20240126000184 NY Practitioner - Physician Assistant 1951754993 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
435239NYMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
BP Immediate Medical Care, PC Multi-Specialty CurrentSince Dec 15, 2025 Accepting new patients
Rockland Medical Group, PLLC Multi-Specialty PastSince Apr 15, 2017 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

735 Bedford Ave
Brooklyn, NY 11205
Phone (201) 688-2424

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

2 Suffern Ln
Garnerville, NY 10923
Phone (845) 218-0809

Networks

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

Organizations & group practices 4

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1902590573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 6M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358328",
            "telephone_number": "646-409-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 6M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358328",
            "telephone_number": "646-409-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALENICHKO",
        "first_name": "DEANA",
        "middle_name": "ALEKSANDRA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": "435239",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.