Individual provider Active NPI

John J. Asheld Jr., M.D.

  • Internal Medicine Physician
  • North Bellmore, NY
National Provider Identifier
1063406783
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
127497 Issued in NY
Practice address
1201 George Rd
North Bellmore, NY 11710-2448
Phone
(516) 781-4500
Fax
(516) 781-7848
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 127497 NY Primary

Addresses

Primary practice location

1201 George Rd
North Bellmore, NY 11710-2448

Mailing address

1201 George Rd
North Bellmore, NY 11710-2448
Phone (516) 781-4500

Other identifiers 1

IdentifierTypeStateIssuer
00333064MedicaidNY

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
I20080908000085 NY Practitioner - Internal Medicine 1254405087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1201 George Rd
North Bellmore, NY 11710-2498
Phone (516) 781-4500

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John J. Asheld, MD, PC Internal Medicine CurrentSince Dec 4, 1981 Accepting new patients

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1063406783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GEORGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117102448",
            "telephone_number": "516-781-4500",
            "fax_number": "516-781-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GEORGE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117102448",
            "telephone_number": "516-781-4500",
            "fax_number": "516-781-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHELD",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "127497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00333064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.