Richard Noel Ashley, M.D.
Individual provider Active NPI Urology Physician · Hampton Bays, NY
NPI 1083608152 · NPPES record last updated Sep 24, 2019
Key facts
- NPI
- 1083608152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 116832 (NY)
- Practice address
- 182 W Montauk Hwy Ste B
Hampton Bays, NY 11946 - Phone
- (631) 594-3910
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080409000623 | NY | Practitioner - Urology | 4981781374 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116832 | NY | MD | Urology Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Current |
Accepting new patients | |
| North Shore Long Island Jewish Healthcare | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 116832 | NY | Yes |
Addresses
Primary practice location
182 W Montauk Hwy Ste B
Hampton Bays, NY 11946
Mailing address
182 W Montauk Hwy Ste B
Hampton Bays, NY 11946-4210
Phone (631) 594-3910
Other practice location 1
147 Beach Rd Ste D
Westhampton Beach, NY 11978
Phone (631) 405-3325
Other practice location 2
12 Gates Ave
Montauk, NY 11954-5236
Phone (516) 972-2300
Other providers in Hampton Bays, NY
- Ana Maria Anselmo
- Christine Anselmo
- Yriana Mercedes Anuel
- Gabriel R Ariola
- Ascend Counseling Services LCSW, PLLC
- B and B Hampton Drugs Inc
- Eileen C Barlow
- Julie Bates
- Sandy Adjei Bawuah
- Julie Ann Beatrice
All providers in Hampton Bays, NY · Urology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.