Individual provider Active NPI

Raji Mohammed Ayinla, M.D.

  • Pulmonary Disease Physician
  • Bronx, NY
National Provider Identifier
1164464970
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
208113 Issued in NY
Practice address
3184 Grand Concourse Apt 2E
Bronx, NY 10458-1031
Phone
(718) 220-4380
Fax
(718) 220-4375
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 208113 NY Primary

Addresses

Primary practice location

3184 Grand Concourse Apt 2E
Bronx, NY 10458-1031

Mailing address

2951 Grand Concourse
Suite 1a
Bronx, NY 10468-1431
Phone (718) 220-4380

Other identifiers 1

IdentifierTypeStateIssuer
01667894MedicaidNY

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
I20051115000266 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8921027483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

30 W 138TH St
New York, NY 10037-1710
Phone (212) 690-7400

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

  • Harlem Hospital Center Hospital, New York, NY, CCN 330240
  • Northern Manhattan Rehabilitation and Nursing Cent Nursing home, New York, NY, CCN 335792

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208113NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Harlem Medical Associates PC CurrentSince Jun 1, 2015 Accepting new patients
Concourse Medical Office P C Pulmonary Disease CurrentSince Apr 18, 2001 Accepting new patients
Cardiology Unlimited PC Past Accepting new patients
North General Physician Services PLLC PastSince Jul 1, 2006 Accepting new patients
Northern Manhattan Nursing Home Inc Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Locations

3184 Grand Concourse
Apt 2E
Bronx, NY 10458
Phone (718) 220-4380

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
#522
New York, NY 10037
Phone (212) 491-1583

30 W 138th St
New York, NY 10037
Phone (212) 690-7400

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

45 Research Way
Ste 206
Setauket, NY 11733
Phone (631) 575-9300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rayinla672426@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIHAA
  • Direct secure messaging: rayinla@mipa.bronxrhiodirect.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harlem Center for Nursing and RehabilitationNew York, NY, CCN 335522 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 10, 2014
Nov 19, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1164464970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 GRAND CONCOURSE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681431",
            "telephone_number": "718-220-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 GRAND CONCOURSE APT 2E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581031",
            "telephone_number": "718-220-4380",
            "fax_number": "718-220-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYINLA",
        "first_name": "RAJI",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "208113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667894",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.