Active NPI
Alexa Erika Canales, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1982113957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021315
- Practice address
- 5141 Broadway
New York, NY 10034-1159 - Phone
- (212) 932-4000
- NPI assigned
- Sep 21, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 021315 | NY | Primary |
Addresses
Primary practice location
5141 Broadway
New York, NY 10034-1159
Mailing address
7915 68TH Ave
Middle Village, NY 11379-2912
Phone (917) 860-7814
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
| License | State | Type | Specialty |
|---|---|---|---|
| 021315 | NY | MD | Speech-Language Pathologist |
Interoperability endpoints
- alc9221@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1982113957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 68TH AVE",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113792912",
"telephone_number": "917-860-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341159",
"telephone_number": "212-932-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANALES",
"first_name": "ALEXA",
"middle_name": "ERIKA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021315",
"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 Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.