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ALEXANDRA LICONA-FREUDENSTEIN MD
NPI 1457813545
Emergency Medicine - Pediatric Emergency Medicine in New York, NY

Active since April 05, 2019PECOS Enrolled
525 E 68TH ST, NEW YORK, NY 10065(212) 746-3970 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2025, Apr 5, 2019 (2 updates tracked since 2019).

About Alexandra Licona-freudenstein Md NPPES

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

ALEXANDRA LICONA-FREUDENSTEIN MD (NPI 1457813545) is an individual pediatric emergency medicine provider in New York, New York, licensed in New York (336032) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457813545
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameALEXANDRA LICONA-FREUDENSTEINCredential: MD
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address601 Elmwood Ave # 266Rochester, NY 14642-0001
Phone(212) 746-3970
Sole ProprietorNo
Enumeration DateApril 5, 2019
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1457813545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in NY · 336032
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
525 E 68TH ST, New York, NY 10065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Licona-freudenstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Alexandra Licona-freudenstein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York University
1,041 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964
Multicare Health System
2,170 mi
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1336902345 (509) 530-4260

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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

DR. AKILI HINSON M.D.
Surgery
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
ABBY AVGERINOS
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
New York County (610) 742-3894
DR. PAMELA JOAN-YIN TIEU M.D.
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
JENNIFER ANNE SOO HOO MD
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-1500
WEILL MEDICAL COLLEGE OF CORNELL
Specialist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-2846
MS. RACHAEL HALEY BLAIRE PA-C
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
New York County (480) 221-9894
DR. NISHA MEHTA-NAIK M.D.
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
New York County (212) 746-3720
POOJA SHAH SALVI
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065
New York County (646) 962-8413

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 Alexandra Licona-freudenstein's NPI number?

The NPI number for Alexandra Licona-freudenstein is 1457813545. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Alexandra Licona-freudenstein located?

Alexandra Licona-freudenstein practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-3970.

What is Alexandra Licona-freudenstein's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Alexandra Licona-freudenstein enrolled in Medicare?

Yes. Alexandra Licona-freudenstein is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexandra Licona-freudenstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Licona-freudenstein reassigns Medicare benefits to 2 organizations: New York University (Boynton Beach, FL) and Multicare Health System (Spokane Valley, WA). 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 Alexandra Licona-freudenstein'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 Alexandra Licona-freudenstein was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.