Active NPI
Alla Nusonovna Adler, NURSE PRACTITIONER/N
- Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1972076107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F308820-1
- Practice address
- 76Winchester Ave
Staten Island, NY 10312 - Phone
- (718) 605-2767
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- No
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.
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Amboy Medical Practice PC
Practice addresses (Care Compare)
1366 Victory Blvd
Suite a
Staten Island, NY 10301-3948
Phone (718) 816-4949
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.48 of 100
- Quality
- 82.91
- Promoting interoperability
- 5.67
- Improvement activities
- 40
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190710002949 | NY | Practitioner - Nurse Practitioner | 0143555359 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308820-1 | NY | MD | Nurse Practitioner |
Practice roles (2 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients |
Locations
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
1366 Victory Blvd
Ste A
Staten Island, NY 10301
Phone (718) 727-1366
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- alla.adler.1@19656.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F308820-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
76Winchester Ave
Staten Island, NY 10312
Mailing address
76Winchester Ave
Staten Island, NY 10312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2019.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1972076107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76WINCHESTER AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76WINCHESTER AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "718-605-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "ALLA",
"middle_name": "NUSONOVNA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F308820-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.