Aliza Black, - Medicare Physician Assistant in Englewood, NJ

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Aliza Black, is a medicare enrolled "Physician Assistant" in Englewood, New Jersey. Her current practice location is 78 Franklin St, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (917) 776-8725.

Aliza Black is licensed to practice in New York (license number 017080) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417387572.

Contact Information

Aliza Black,
78 Franklin St,
Englewood, NJ 07631-3616
(917) 776-8725
Not Available

Map and Direction




Provider's Profile

Full NameAliza Black
GenderFemale
SpecialityPhysician Assistant
Location78 Franklin St, Englewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417387572
  • Provider Enumeration Date: 11/26/2013
  • Last Update Date: 04/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335459692
  • Enrollment ID: I20151117001780

Medical Identifiers

Medical identifiers for Aliza Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417387572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 017080 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aliza Black allows following entities to bill medicare on her behalf.
Entity NamePrompt MD LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205073079
PECOS PAC ID: 9739236779
Enrollment ID: O20090409000246
Entity NameAdam Alex LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215346218
PECOS PAC ID: 3274859376
Enrollment ID: O20150309001553

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aliza Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Aliza Black,
78 Franklin St,
Englewood, NJ 07631-3616

Ph: (917) 776-8725		Aliza Black,
78 Franklin St,
Englewood, NJ 07631-3616

Ph: (917) 776-8725

Reviews and Comments


Physician Assistant Nurses in Englewood, NJ

Allison Leigh Luther, PA-C
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Tessa Dimasi, PA-C
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Miss Janine Mary Mansukhani,
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Jennie Mayer, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 350 Engle St, Englewood Hospital, Englewood, NJ 07631
Phone: 201-984-3000    Fax: 610-617-6280

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.