DR. ALICIA PROWSE (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1104908268

DR. ALICIA PROWSE (MD) is a healthcare provider. based in Teaneck, New Jersey. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MA76037 (NJ). The NPI Number for DR. ALICIA PROWSE (MD) is 1104908268

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALICIA PROWSE (MD)
NPI
1104908268
Phone
(201) 928-0200
Address
1 DEGRAW AVE
Enumeration Date
19 October 2006
Last Update Date
31 July 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8008255391
Graduation Year
1999 (27 years ago)
PAC ID
8628969821
Group Practice PAC ID
3577857333
Professional Enrollment ID
I20040415001265
Address ID
NJ070306101HO108XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

251 GERIATRIC MEDICINE in NJ

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Provider Addresses for DR. ALICIA PROWSE (MD)

  • 1, Degraw Avenue, Teaneck Township, Bergen County, New Jersey, 07666, United States

    TEANECK, NJ 076664000

    Phone: (201) 928-0200

    Fax: (201) 928-0820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040415001265IGeriatric MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes14376$0
36415Insertion of needle into vein for collection of blood sample13288$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10291$0
99215Established patient office or other outpatient visit, 40-54 minutes5649$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5627$0
View full utilization report →

Insurance plans in this area (ZIP 07666)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577857333View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. ALICIA PROWSE (MD)?
For DR. ALICIA PROWSE (MD), use NPI 1104908268 as the unique 10-digit identifier.
Is DR. ALICIA PROWSE (MD) shown as active in public data?
Registry records indicate DR. ALICIA PROWSE (MD) maintains an active NPI.
What kind of doctor is DR. ALICIA PROWSE (MD)?
DR. ALICIA PROWSE (MD) is associated with Geriatric Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. ALICIA PROWSE (MD) associated with Teaneck?
Public fields place DR. ALICIA PROWSE (MD) around Teaneck, New Jersey. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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