Ms. Maria Noelle Alicea
Physician Assistant (Medical)

Address: 1575 Washington St, Watertown, NY 13601-9371
Phone: 3157867300

Ms. Maria Noelle Alicea (NPI# 1063691491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1063691491
Entity Type Individual
Full Name Ms. Maria Noelle Alicea
Credential MS, RPA
Gender Female
Practice Address 1575 Washington St
Watertown
NY 13601-9371
Practice Telephone 3157867300
Practice Fax Number 3157867310
Mailing Address 1575 Washington St
Watertown
NY 13601-9371
Mailing Telephone 3157867300
Mailing Fax Number 3157867310
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-11-01
Last Update Date 2015-03-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 012248 NY

Providers with the same name

NPI Name Taxonomy Address Enumeration
1053625731 Maria Sevilla Alicea Speech-Language Pathologist 57 Grandview Ave, White Plains, NY 10605-2401 2010-08-04
1376677039 Maria J Alicea Pharmacist 1228 Calle 9 Esq52, Reparto Metropolitano, Rio Piedras, PR 00921-4235 2007-03-15

Physician Overview

NPI 1063691491
PAC ID by PECOS 6709956568
Professional Enrollment ID I20080605000166
Full Name Maria N Alicea
Organization Legal Name SAMARITAN MEDICAL CENTER
Phone Number 3157854000
Gender F
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8123914876
Number of Group Practice Members 113
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330157 SAMARITAN MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417288325 Kathryn E Doremus Physician Assistant 1571 Washington St Ste 201, Watertown, NY 13601 2010-01-18
1275529554 Melissa A Charlebois Physician Assistant 826 Washington St, Suite 204, Watertown, NY 13601-4063 2005-09-22
1225030752 Lisa J Trickey Physician Assistant 53-59 Public Square, Internal Medicine of Northern New York Suite 201, Watertown, NY 13601-2674 2005-08-15
1154327161 Milagros C Smith Physician Assistant 727 Washington St, Watertown, NY 13601-4031 2005-06-23
1730644949 Sarabrooke Mowery Physician Assistant 830 Washington St, Watertown, NY 13601-4034 2019-02-01
1710395058 Promporn June Suwanabol Physician Assistant 123 Hospital Dr, Suite 2009, Watertown, WI 53098-3331 2014-07-30
1881018588 Katherine S. Johnson Physician Assistant 1571 Washington St, Suite 104, Watertown, NY 13601-9304 2014-02-15
1356673883 Justin James Martinson Physician Assistant 401 9th Ave Nw, Watertown, SD 57201-1548 2010-02-09
1467534396 Thomas U. Moody Sr. Physician Assistant 21017 State Route 12f, Watertown, NY 13601-1078 2006-10-19
1376645168 Terri L Groves Physician Assistant 506 1st Ave Se, Watertown, SD 57201-4499 2006-09-02
Find all providers in WATERTOWN

Office Location

Street Address 1575 WASHINGTON ST
City WATERTOWN
State NY
Zip Code 13601-9371

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679521132 Joseph Wetterhahn Family Medicine 1575 Washington St, Watertown, NY 13601-9367 2006-05-05
1275187049 Kalyn M Kowalski Counselor 1575 Washington St, Watertown, NY 13601-9371 2019-07-30
1306404819 Jennifer Peckman Counselor 1575 Washington St, Watertown, NY 13601-9371 2019-05-30
1851959464 Deborah Yuhas Counselor 1575 Washington St, Watertown, NY 13601-9371 2019-05-30
1003474511 Jaquana Mendez Counselor 1575 Washington St, Watertown, NY 13601-9371 2019-05-30
1740848266 Mary Hughes-hoistion Counselor 1575 Washington St, Watertown, NY 13601-9371 2019-05-30
1548828064 Brandon Rose Counselor 1575 Washington St, Watertown, NY 13601-9371 2019-05-30
1225696743 Amanda Frostad Counselor 1575 Washington St, Watertown, NY 13601-9371 2019-05-30
1831602754 Danielle Sawyer Physician Assistant 1575 Washington St, Watertown, NY 13601-9371 2017-11-14
1932611225 Renee Raffalovich Pyburn Nurse Practitioner 1575 Washington St, Watertown, NY 13601-9371 2017-10-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578039905 North Country Counseling Services LLC Counselor 210 Court St. Suite 4, Watertown, NY 13601 2018-10-24
1073004388 Megan Anna O'brien Counselor 221 S Rutland Street, Watertown, NY 13601 2018-05-22
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
1518366400 Megan Weller Physical Therapist 24015 Gotham Street Rd, Watertown, NY 13601 2014-08-18
1699198101 Adam French Acupuncturist 24304 Route 37, Watertown, NY 13601 2014-02-04
1164853503 Joan Ellen Ebblie Registered Nurse 29690 State Rt. 180, Watertown, NY 13601 2013-12-11
1306276829 Ann Compo Bedard Physical Therapist 1635 Ohio St., Watertown, NY 13601 2013-11-19
1942550934 Krista Lynn Iannetta Specialist 16783 Ives Street Road, Watertown, NY 13601 2012-09-17
Find all providers in zip 13601

Competitor

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City WATERTOWN
Zip Code 13601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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