Active NPI
Alan K Dockeray Sr., MD
- Internal Medicine Physician
- New Rochelle, NY
National Provider Identifier
1992860795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 144793NY
- Practice address
- 175 Memorial Hwy
Suite 1-4
New Rochelle, NY 10801 - Phone
- (914) 633-5700
- Fax
- (914) 633-0446
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 144793NY | NY | Primary |
Addresses
Primary practice location
175 Memorial Hwy
Suite 1-4
New Rochelle, NY 10801
Mailing address
175 Memorial Hwy
Suite 1-4
New Rochelle, NY 10801-5635
Phone (914) 633-5700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD088A0030 | Other | BC/BS | |
| 0D1670 | Other | HEALTHNET | |
| 201624P | Other | HIP | |
| 20340 | Other | AETNA | |
| P3601338 | Other | OXFORD | |
| 00933660 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144793NY | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1992860795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MEMORIAL HWY",
"address_2": "SUITE 1-4",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015635",
"telephone_number": "914-633-5700",
"fax_number": "914-633-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MEMORIAL HWY",
"address_2": "SUITE 1-4",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "914-633-5700",
"fax_number": "914-633-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKERAY",
"first_name": "ALAN",
"middle_name": "K",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "144793NY",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "AD088A0030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0D1670",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "201624P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "20340",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3601338",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00933660",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.