Individual provider Active NPI

Nilofar K Hava, M.D.

  • Internal Medicine Physician
  • Hauppauge, NY
National Provider Identifier
1023041092
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191933 Issued in NY
Practice address
1 Kings Hwy
Hauppauge, NY 11788-4216
Phone
(631) 348-4900
Fax
(631) 348-0273
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191933 NY Primary

Addresses

Primary practice location

1 Kings Hwy
Hauppauge, NY 11788-4216

Mailing address

1 Kings Hwy
Hauppauge, NY 11788-4216
Phone (631) 348-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000208 NY Practitioner - Internal Medicine 3678527074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amb Medical Services PCGroup PAC ID 8820902315, 24 clinicians

Practice addresses (Care Compare)

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

Merit-based Incentive Payment System (MIPS)

Final score
87.67 of 100Reported as individual
Quality
66.53
Promoting interoperability
100
Improvement activities
40
Cost
75.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amb Medical Services, P.C. CurrentSince Sep 1, 2003 Accepting new patients

Locations

7401 Myrtle Ave
Glendale, NY 11385
Phone (646) 549-1599

1 Kings Hwy
Hauppauge, NY 11788
Phone (631) 342-1546

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1023041092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KINGS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884216",
            "telephone_number": "631-348-4900",
            "fax_number": "631-348-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KINGS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884216",
            "telephone_number": "631-348-4900",
            "fax_number": "631-348-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVA",
        "first_name": "NILOFAR",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.