ALISSA M GNOLFO PNP
NPI 1336582600
Nurse Practitioner - Pediatrics in Mount Sinai, NY

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
701 ROUTE 25A, SUITE B3, MOUNT SINAI, NY 11766(631) 476-7676 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alissa M Gnolfo Pnp NPPES

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

ALISSA M GNOLFO PNP (NPI 1336582600) is an individual pediatrics provider in Mount Sinai, New York, licensed in New York (F381858-1) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336582600
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALISSA M GNOLFOCredential: PNP
Location Address701 ROUTE 25A, SUITE B3Mount Sinai, NY 11766-2050
Mailing Address701 Route 25a, Suite B3Mount Sinai, NY 11766-2050 · (631) 476-7676
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 16, 2013
✔ NPI 1336582600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F381858-1
701 ROUTE 25A, Mount Sinai, NY 11766

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alissa M Gnolfo Pnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658712039
PECOS Enrollment IDI20240516001175
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alissa Gnolfo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1770 MOTOR PKWY
Islandia, NY 11749
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Family Medicine
701 ROUTE 25A
MOUNT SINAI, NY 11766
Dentist (General Practice)
701 ROUTE 25A, SUITE A1
MOUNT SINAI, NY 11766
Internal Medicine
701 ROUTE 25A, SUITE B1
MOUNT SINAI, NY 11766
Dentist
701 ROUTE 25A, SUITE A1
MOUNT SINAI, NY 11766
Dentist
701 ROUTE 25A, SUITE A
MOUNT SINAI, NY 11766
Dentist (General Practice)
701 ROUTE 25A, SUITE 1A
MOUNT SINAI, NY 11766
Pediatrics
701 ROUTE 25A, SUITE B3
MOUNT SINAI, NY 11766
Internal Medicine (Nephrology)
701 ROUTE 25A, SUITE B1
MOUNT SINAI, NY 11766

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 Alissa Gnolfo's NPI number?

The NPI number for Alissa Gnolfo is 1336582600. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Alissa Gnolfo located?

Alissa Gnolfo practices at 701 Route 25A Suite B3, Mount Sinai, NY 11766. The listed phone number is (631) 476-7676.

What is Alissa Gnolfo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Alissa Gnolfo enrolled in Medicare?

Yes. Alissa Gnolfo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alissa Gnolfo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Gnolfo reassigns Medicare benefits to 2 organizations: North Shore - Lij Pediatrics Of Suffolk County, P.C. (Islandia, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alissa Gnolfo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alissa Gnolfo was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.