Individual provider Active NPI

Jonathan Arad, MD

  • Surgery Physician
  • Ardsley, NY
National Provider Identifier
1104090901
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
268725-1 Issued in NY
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

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
268725-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness & Pain PC Surgery PastSince Mar 27, 2022 Accepting new patients
Jonathan Kirsch Arad MD PC Surgery Past Accepting new patients
Spine and Joint Group LLC PastSince May 28, 2017 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.

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

Verify at the official NPI Registry.