1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ALEXIS ETHERIDGE MD
NPI 1326735317
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 19, 2023PECOS Enrolled
550 1ST AVE, NEW YORK, NY 10016(212) 263-5506 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexis Etheridge Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS ETHERIDGE MD (NPI 1326735317) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Rutgers, Robert Woood Johnson Medical School (2023).

NPPES Registry Identity

NPI1326735317
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXIS ETHERIDGECredential: MD
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address550 1st AveNew York, NY 10016-6402
Phone(212) 263-5506
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2023
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1326735317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 1ST AVE, New York, NY 10016
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Etheridge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173092756
PECOS Enrollment IDI20260512004352
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHARON URALIL D.O.
Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. DIANA TREVAS FLEISHER
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. MONICA GUPTA M.D.
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
New York County (212) 263-6397
CHRISTINE CHAN M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MATTHEW CHIARELLO MD
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MEGAN ELIZABETH JENKINS M.D.
Surgery
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-7300
DR. MANAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
VICKY CHIANG
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Etheridge's NPI number?

The NPI number for Alexis Etheridge is 1326735317. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Alexis Etheridge located?

Alexis Etheridge practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5506.

What is Alexis Etheridge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexis Etheridge enrolled in Medicare?

Yes. Alexis Etheridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Etheridge was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.