Active NPI
Kelita R Alston Jones, PA
- Medical Physician Assistant
- New York, NY
National Provider Identifier
1912164237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 010301-1
- Practice address
- 317 E 17TH St
2ND Floor
New York, NY 10003-3804 - Phone
- (212) 759-5870
- Fax
- (212) 759-5860
- NPI assigned
- May 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 010301-1 | NY | Primary |
Addresses
Primary practice location
317 E 17TH St
2ND Floor
New York, NY 10003-3804
Mailing address
73 Cromer Rd W
Elmont, NY 11003-4802
Phone (516) 285-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010301-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMC Medical PLLC | Past | Accepting new patients | |
| Brooklyn Radiation Oncology PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Brooklyn, NY
- NPI 1033163506
-
- Hematology & Oncology Physician
- Howard Beach, NY
- NPI 1972374023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1912164237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 CROMER RD W",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034802",
"telephone_number": "516-285-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E 17TH ST",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-759-5870",
"fax_number": "212-759-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSTON JONES",
"first_name": "KELITA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "010301-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.