Active NPI
Jonathan Arad, MD
- Surgery Physician
- Ardsley, NY
National Provider Identifier
1104090901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 268725-1
- Practice address
- 1053 Saw Mill River Rd Ste LL1
Ardsley, NY 10502-1048 - Phone
- (914) 361-1835
- Fax
- (914) 351-2316
- NPI assigned
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 268725-1 | NY | Primary |
Addresses
Primary practice location
1053 Saw Mill River Rd Ste LL1
Ardsley, NY 10502-1048
Mailing address
1053 Saw Mill River Rd Ste LL1
Ardsley, NY 10502-1048
Phone (914) 361-1835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268725-1 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness & Pain PC | Surgery | Past | Accepting new patients |
| Jonathan Kirsch Arad MD PC | Surgery | Past | Accepting new patients |
| Spine and Joint Group LLC | Past | Accepting new patients |
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.
-
- Chiropractor
- Tuckahoe, NY
- NPI 1336544915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1104090901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 SAW MILL RIVER RD STE LL1",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021048",
"telephone_number": "914-361-1835",
"fax_number": "914-351-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 SAW MILL RIVER RD STE LL1",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021048",
"telephone_number": "914-361-1835",
"fax_number": "914-351-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAD",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "268725-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.