Individual provider Active NPI

Ajay Haryani

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1043603756
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
312958 Issued in NY
Practice address
1111 Amsterdam Ave
New York, NY 10025-1716
Phone
(212) 523-2900
NPI assigned
Mar 5, 2015
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 312958 NY Primary
Hospitalist Physician 208M00000X 312958 NY

Addresses

Primary practice location

1111 Amsterdam Ave
New York, NY 10025-1716

Mailing address

169 Madison Ave Ste 15951
New York, NY 10016-5101
Phone (332) 242-6725

Other practice location 1

8270 Woodland Center Blvd
Tampa, FL 33614-2401
Phone (512) 693-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, SC, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210924001560 NY Practitioner - Internal Medicine 8527465152 Reassigns benefits to 1 organization
I20211221000336 NC Practitioner - Internal Medicine 8527465152 Reassigns benefits to 1 organization
I20220729001517 SC Practitioner - Internal Medicine 8527465152
I20231127002184 AL Practitioner - Internal Medicine 8527465152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish PLLC Internal Medicine Current Accepting new patients
Maimonides Medical Center Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Nourish Medical Group (KS) LLC Internal Medicine Current Accepting new patients
Seen Medical, PLLC Internal Medicine CurrentSince Apr 27, 2025 Accepting new patients
Galileo Medical Group Al, P.C. CurrentSince Nov 17, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2025 Accepting new patients
Nourish P.a. Internal Medicine Current Accepting new patients
Nourish, Inc. Past Accepting new patients

Locations

324 Commons Dr
Birmingham, AL 35209
Phone (205) 291-8774

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

169 Madison Ave
Ste 15951
New York, NY 10016

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

632 Broadway
New York, NY 10012
Phone (347) 762-7392

632 Broadway
Ph
New York, NY 10012
Phone (347) 588-0601

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

Networks

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

Interoperability endpoints

  • Direct secure messaging: ajay.haryani@450368864321540.direct.elationemr.com
  • Direct secure messaging: ajayharyani@mai.allscriptsdirect.net

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1043603756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15951",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "332-242-6725",
            "fax_number": "347-286-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8270 Woodland Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142401",
            "country_code": "US",
            "telephone_number": "512-693-7045",
            "fax_number": "512-399-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARYANI",
        "first_name": "AJAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "312958",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "312958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.