Geetha Ajay

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

558176 Issued in NY

Practice address

12915 150TH Ave
South Ozone Park, NY 11420-4211

Phone

(718) 529-8720

NPI assigned

Mar 21, 2012

Sex

Female

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

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 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Spine and Sport Rehabilitation Medicine PCGroup PAC ID 9537050125, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIJGAA/Endpoint/CIJGAA

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.

• New York Spine & Sport Rehabilitation Medicine P.C.

  • Specialist
  • Bronx, NY
  • NPI 1942423579
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1235404443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 150TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114204211",
            "telephone_number": "718-529-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 150TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114204211",
            "telephone_number": "718-529-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAY",
        "first_name": "GEETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "558176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred E Abraham, MD
• Adam I Cohen DPT PC
• Olakanmi Omolara Adeniyi, PT
• Michelle Adhar
• Marc Agboka
• Jameel Ali
• Jasoda Girdhari Ali, PA
• Syed M Ali, R.PH
• Shelly Reshma Alli
• Carmen Almonte

• School Registered Nurse in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.