Individual provider Active NPI

Ashley Doerler, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1144722398
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021817-1 Issued in NY
Practice address
153 E 88TH St
New York, NY 10128
Phone
(631) 521-0273
NPI assigned
Mar 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3229 SC
Physician Assistant 363A00000X 021817-1 NY Primary

Addresses

Primary practice location

153 E 88TH St
New York, NY 10128

Mailing address

90 Washington St Apt 12V
New York, NY 10006-2276

Other practice location 1

1364 Ashley River Rd
Charleston, SC 29407-5347
Phone (843) 556-8886

Other practice location 2

2180 Henry Tecklenburg Dr
Charleston, SC 29414-5798
Phone (843) 556-8886

Other practice location 3

37 Union Sq W Fl 4
New York, NY 10003-3217
Phone (212) 433-3344

Other practice location 4

222 East 31st Street, Ste 1R
New York, NY 10016
Phone (315) 201-0621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181019001249 NY Practitioner - Physician Assistant 1951654011 Reassigns benefits to 3 organizations
I20200320001693 SC Practitioner - Physician Assistant 1951654011 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021817NYMDOccupational Therapist
021817-1NYMDPhysician Assistant
PA3229SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Aug 20, 2023 Accepting new patients
Epiphany Dermatology of South Carolina LLC PastSince Sep 1, 2019 Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

Organizations & group practices 6

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": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1144722398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST APT 12V",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "631-521-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Ashley River Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294075347",
            "country_code": "US",
            "telephone_number": "843-556-8886",
            "fax_number": "843-556-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2180 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145798",
            "country_code": "US",
            "telephone_number": "843-556-8886",
            "fax_number": "843-556-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Union Sq W Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033217",
            "country_code": "US",
            "telephone_number": "212-433-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 East 31st Street, Ste 1R",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "315-201-0621",
            "fax_number": "646-536-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERLER",
        "first_name": "ASHLEY",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3229",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021817-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.