Individual provider Active NPI

Syed M Ali, MD

  • Psychiatry Physician
  • Sstaten Island, NY
National Provider Identifier
1144316639
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208773 Issued in NY
Practice address
355 Bard Ave
Psychiatry
Sstaten Island, NY 10310
Phone
(718) 818-5698
Fax
(718) 876-2263
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 208773 NY Primary

Addresses

Primary practice location

355 Bard Ave
Psychiatry
Sstaten Island, NY 10310

Mailing address

450 West 33Rd Street
PBS 12TH Floor
Newyork, NY 10001
Phone (212) 356-4474

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
I20050106000185 NY Practitioner - Psychiatry 2860440831 Reassigns benefits to 2 organizations
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

1058 Forest Ave
Staten Island, NY 10310-2419
Phone (718) 818-1058

4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658

Hospital & facility affiliations

  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SV Operating Three LLC CurrentSince Jul 1, 2014 Accepting new patients
Amboy Medical Practice PC CurrentSince Jan 1, 2011 Accepting new patients
Amboy Medical Practice PC Psychiatry CurrentSince Jan 1, 2011 Accepting new patients
Richmond Medical Center Past Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

75 Vanderbilt Ave
#2
Staten Island, NY 10304
Phone (718) 876-2195

275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

75 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 354-6000

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144316639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WEST 33RD STREET",
            "address_2": "PBS 12TH FLOOR",
            "city": "NEWYORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-356-4474",
            "fax_number": "212-356-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "address_2": "PSYCHIATRY",
            "city": "SSTATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "718-818-5698",
            "fax_number": "718-876-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SYED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.