Alena Bolten, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

383644 Issued in NY

Practice address

10848 70TH Rd Ste 1
Forest Hills, NY 11375-3959

Phone

(718) 263-2072

Fax

(718) 261-9082

NPI assigned

Jan 17, 2024

Last updated

Jul 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Optum Medical Care, P.C.

  dba CareMount Medical, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment NPD
• Allied Physicians Group, PLLC

  • Pediatrics Physician
  • Melville, NY
  • NPI 1396944799
  NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Raphael Strauss MD PC

  • Allergy & Immunology Physician
  • Commack, NY
  • NPI 1528289568
  NPD
• Mount Kisco Medical Group

  • Hematology (Internal Medicine) Physician
  • Fishkill, NY
  • NPI 1952356362
  NPD (past)

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1912768946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 CARMANS RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583609",
            "telephone_number": "646-623-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10848 70TH RD STE 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753959",
            "telephone_number": "718-263-2072",
            "fax_number": "718-261-9082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Stewart Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115906611",
            "country_code": "US",
            "telephone_number": "516-224-4271",
            "fax_number": "516-228-8579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLTEN",
        "first_name": "ALENA",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stephanie Boisrond-Canal, M.S.
• Jocelyn Boiteau
• Tina O Bolaji
• Ana Catalina Bolanos Guerrero
• Chetty Bologna
• Dakota Natale Bonanno
• Dmitri Bondarenko, O.D.
• Lillieth Jeanette Boniello, MSW
• Bonnie S. Glassman DC PC
• Arsalan Boodhun

• Pediatric Nurse Practitioner in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.