Individual provider Active NPI

Kristen Dianne Alfano

  • Specialist
  • White Plains, NY
National Provider Identifier
1972167823
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
708553131 Issued in NY
Practice address
1133 Westchester Ave Ste N230
White Plains, NY 10604-3516
Phone
(914) 576-5292
Fax
(914) 470-0406
NPI assigned
Apr 25, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 708553131 NY Primary

Addresses

Primary practice location

1133 Westchester Ave Ste N230
White Plains, NY 10604-3516

Mailing address

42 Underhill Ave Apt 1a
West Harrison, NY 10604-2441
Phone (914) 879-7216

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
708553131NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1972167823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 UNDERHILL AVE APT 1A",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042441",
            "telephone_number": "914-879-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WESTCHESTER AVE STE N230",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043516",
            "telephone_number": "914-576-5292",
            "fax_number": "914-470-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFANO",
        "first_name": "KRISTEN",
        "middle_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "708553131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.