Organization Active NPI

Westchester Avenue Family Medicine PC

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1023388428
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
251400 Issued in NY
Legal business name
WESTCHESTER AVENUE FAMILY MEDICINE PC
Practice address
1575 Westchester Ave
Bronx, NY 10472-2912
Phone
(718) 842-8900
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Dr. Ajith Kumar Karayil, M.D.NPI 1104011618
Title
Owner
Phone
(606) 813-9170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 251400 NY Primary

Addresses

Primary practice location

1575 Westchester Ave
Bronx, NY 10472-2912

Mailing address

34 Inverness CT
White Plains, NY 10605-5113
Phone (606) 813-9170

Other identifiers 1

IdentifierTypeStateIssuer
03166525MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000187 NY Part B Supplier - Clinic/Group Practice 1254592876 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0869730Westchester Avenue Family Medicine PC1575 Westchester Avenue - Room 2, Bronx, NY 10472Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1023388428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 INVERNESS CT",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055113",
            "telephone_number": "606-813-9170",
            "fax_number": "718-589-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722912",
            "telephone_number": "718-842-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER AVENUE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "KARAYIL",
        "authorized_official_first_name": "AJITH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-813-9170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "251400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03166525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.