Individual provider Active NPI

Sayed R Aly, MD

  • Pediatrics Physician
  • Bayonne, NJ
National Provider Identifier
1174680722
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA45070 Issued in NJ
Practice address
451 Broadway
Bayonne, NJ 07002-3623
Phone
(201) 471-7790
Fax
(201) 471-7789
NPI assigned
Jan 2, 2007
Last updated
May 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA45070 NJ Primary

Addresses

Primary practice location

451 Broadway
Bayonne, NJ 07002-3623

Mailing address

451 Broadway
Bayonne, NJ 07002-3623
Phone (201) 471-7790

Other identifiers 1

IdentifierTypeStateIssuer
1927205MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171219002802 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0345508461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA45070NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sayed.aly@direct.bayonnemedicalcenter.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1174680722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023623",
            "telephone_number": "201-471-7790",
            "fax_number": "201-471-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023623",
            "telephone_number": "201-471-7790",
            "fax_number": "201-471-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALY",
        "first_name": "SAYED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA45070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1927205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.