Individual provider Active NPI

Alec Orlick, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunny Isles Beach, FL
National Provider Identifier
1962844803
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401629 Issued in NY
Practice address
200 177TH Dr Apt 504
Sunny Isles Beach, FL 33160-2844
Phone
(917) 656-6119
NPI assigned
Jul 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9492350 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401629 NY Primary

Addresses

Primary practice location

200 177TH Dr Apt 504
Sunny Isles Beach, FL 33160-2844

Mailing address

200 177TH Dr Apt 504
Sunny Isles Beach, FL 33160-2844
Phone (917) 656-6119

Other practice location 1

535 Neptune Ave Apt 17E
Brooklyn, NY 11224-4037
Phone (917) 656-6119

Other practice location 2

2861 Somerset Dr Apt 104
Lauderdale Lakes, FL 33311-1921
Phone (917) 656-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150831000748 NY Practitioner - Nurse Practitioner 6709109283 Reassigns benefits to 1 organization
I20230323000015 FL Practitioner - Nurse Practitioner 6709109283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 8628981925, shared by 12 NPIs, 56 clinicians

Practice addresses (Care Compare)

15055 NW 27 Ave
Opa Locka, FL 33054-3365
Phone (786) 466-2800

20201 NW 37 Ave
Miami, FL 33056-1755
Phone (786) 466-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9492350FLMDPsychiatric/Mental Health Nurse Practitioner
401629NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 25, 2023 Accepting new patients
Public Health Trust of Dade County Florida CurrentSince Jan 25, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
New York University CurrentSince Jul 10, 2017 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 25, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
New York University CurrentSince Jul 10, 2017 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 25, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 25, 2023 Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

Organizations & group practices 9

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1962844803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 177TH DR APT 504",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602844",
            "telephone_number": "917-656-6119",
            "fax_number": "706-948-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 177TH DR APT 504",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602844",
            "telephone_number": "917-656-6119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Neptune Ave Apt 17E",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112244037",
            "country_code": "US",
            "telephone_number": "917-656-6119",
            "fax_number": "706-948-8819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2861 Somerset Dr Apt 104",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333111921",
            "country_code": "US",
            "telephone_number": "917-656-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORLICK",
        "first_name": "ALEC",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9492350",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

Verify at the official NPI Registry.