Ali Heidar Altaf

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

701 Albin Ave
West Babylon, NY 11704-7401

Phone

(917) 688-5749

NPI assigned

Feb 26, 2025

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA2 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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

National Neurobehavioral Associates PCGroup PAC ID 0446736763, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• National Neurobehavioral Associates PC

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1144193293

  NY

  Medicare reassignment Care Compare group NPD
• Divinity Medical Services PLLC

  dba AFC Urgent Care Yorktown

  • Urgent Care Clinic/Center
  • Yorktown Heights, NY
  • NPI 1497159560
  Medicare reassignment Care Compare group
• Boston Neurobehavioral Associates, LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1558415307
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1164229472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ALBIN AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047401",
            "telephone_number": "917-688-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ALBIN AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047401",
            "telephone_number": "917-688-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAF",
        "first_name": "ALI",
        "middle_name": "HEIDAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Christina Albergo-Roman, LMSW
• Alchemy Healing Arts LLC
• Alka Bishnoi, MD, PC
• Brittany Galietta Allan
• Alia Alli
• American Medical
• Dorothy Frances Anderson
• Angelica Rubio LCSW Psychotherapy PLLC
• Anthony Cappellino MD PC
• Aprendiendo a Hablar Corp

• Physician Assistant in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.