Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRA W HALLACY
NPI 1689263873
Physician Assistant - Surgical in New York, NY

Active since January 13, 2021PECOS Enrolled
1176 5TH AVE, NEW YORK, NY 10029(212) 241-3300 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Apr 29, 2026, Jan 13, 2021 (3 updates tracked since 2021).

About Alexandra W Hallacy NPPES

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

ALEXANDRA W HALLACY (NPI 1689263873) is an individual surgical provider in New York, New York, licensed in New York (026049) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689263873
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALEXANDRA W HALLACY
Location Address1176 5TH AVENew York, NY 10029-6503
Mailing Address48 1/2 E 7th St Apt 4aNew York, NY 10003-8439 · (214) 957-3010
Sole ProprietorYes
Enumeration DateJanuary 13, 2021
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1689263873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 026049
1176 5TH AVE, New York, NY 10029

Other Names 1

Professional Name (2)Alexandra Williams

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexandra W Hallacy 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.

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.

Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Nurse Practitioner (Family)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Physician Assistant
1176 5TH AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Obstetrics & Gynecology
1176 5TH AVE, BOX 1170
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE, 1ST FLOOR, BOX 1160
NEW YORK, NY 10029

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 Hallacy's NPI number?

The NPI number for Alexandra Hallacy is 1689263873. It was assigned to this individual provider in the NPPES registry on January 13, 2021. The provider is also known as Alexandra Williams.

Where is Alexandra Hallacy located?

Alexandra Hallacy practices at 1176 5th Ave, New York, NY 10029. The listed phone number is (212) 241-3300.

What is Alexandra Hallacy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alexandra Hallacy enrolled in Medicare?

Yes. Alexandra Hallacy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Hallacy was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.