Individual provider Active NPI

Ari Marcel Ezratty

  • Specialist
  • Roslyn, NY
National Provider Identifier
1033197819
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
167965 Issued in NY
Practice address
100 Port Washington Blvd
Suite G03
Roslyn, NY 11576-1353
Phone
(516) 365-6444
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 167965 NY Primary

Addresses

Primary practice location

100 Port Washington Blvd
Suite G03
Roslyn, NY 11576-1353

Mailing address

100 Port Washington Blvd
Suite G03
Roslyn, NY 11576-1353
Phone (516) 365-6444

Other identifiers 1

IdentifierTypeStateIssuer
113551705OtherNYTAX ID #

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
I20041113000080 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2860456431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 N Village Ave
Rockville Center, NY 11570-1000

146 Manetto Hill Rd
Suite 110
Plainview, NY 11803-1324
Phone (516) 622-3628

2200 Northern Blvd
Greenvale, NY 11548-1220

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, PC CurrentSince Mar 4, 2013 Accepting new patients
CHS Physician Partners, P.C CurrentSince Mar 4, 2013 Accepting new patients

Locations

2200 Northern Blvd
Ste 102
Greenvale, NY 11548

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

146 Manetto Hill Rd
Ste 110
Plainview, NY 11803
Phone (516) 622-3628

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
#G3
Roslyn, NY 11576
Phone (516) 239-7093

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

100 Port Washington Blvd
#G
Roslyn, NY 11576
Phone (516) 365-6444

Networks

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

Interoperability endpoints

  • Direct secure messaging: aezratty23184@direct-chsli.net

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1033197819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "SUITE G03",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-365-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "SUITE G03",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "516-365-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZRATTY",
        "first_name": "ARI",
        "middle_name": "MARCEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "167965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "113551705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.