Organization Active NPI

Ais Physician P.C

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1043640220
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AIS PHYSICIAN P.C
Practice address
476 7TH St
Brooklyn, NY 11215-6932
Phone
(718) 885-4727
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Ijaz Ahmad, MDNPI 1902895238
Title
President
Phone
(718) 789-4333

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

476 7TH St
Brooklyn, NY 11215-6932

Mailing address

70 Old Westbury Rd
Old Westbury, NY 11568-1611
Phone (718) 395-6444

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://lexamd.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618001486 NY Part B Supplier - Clinic/Group Practice 8729399605 Receives reassigned benefits from 13 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

979 Fulton St
Ste 2
Brooklyn, NY 11238

78 Belmont Ave
Ste 4
Brooklyn, NY 11212

76 Belmont Ave
Ste 2
Brooklyn, NY 11212

76 Belmont Ave
Ste 1
Brooklyn, NY 11212

76 Belmont Ave
Ste 4
Brooklyn, NY 11212

979 Fulton St
Ste 1
Brooklyn, NY 11238

78 Belmont Ave
Ste 1
Brooklyn, NY 11212

78 Belmont Ave
Brooklyn, NY 11212
Phone (718) 395-6444

979 Fulton St
Ste 4
Brooklyn, NY 11238

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1043640220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 OLD WESTBURY RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681611",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156932",
            "telephone_number": "718-885-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIS PHYSICIAN P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-789-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lexamd.com/",
            "affiliation": "N",
            "address_1": "476 7th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112156932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.