Active NPI
Jacob Yair Nir, MD
- Specialist
- Brooklyn, NY
National Provider Identifier
1194787044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 164222
- Practice address
- 3131 Kings Highway
Brooklyn, NY 11234 - Phone
- (718) 253-9886
- Fax
- (718) 258-2205
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 164222 | NY | Primary |
Addresses
Primary practice location
3131 Kings Highway
Brooklyn, NY 11234
Mailing address
3131 Kings Highway
Brooklyn, NY 11234
Phone (718) 253-9886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01634486 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091211000637 | NY | Practitioner - Physical Medicine and Rehabilitation | 1254471873 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3131 Kings Hwy
Brooklyn, NY 11234-2644
Phone (718) 253-9886
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164222 | NY | MD | Specialist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1194787044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 KINGS HIGHWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-253-9886",
"fax_number": "718-258-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 KINGS HIGHWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-253-9886",
"fax_number": "718-258-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIR",
"first_name": "JACOB",
"middle_name": "YAIR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "164222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01634486",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.