NPIMap

Organization Active NPI

Ally Medical PC

  • Internal Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1245935824
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALLY MEDICAL PC
Practice address
30 Hempstead Ave Ste 144
Rockville Centre, NY 11570-4034
Phone
(516) 764-6464
Fax
(516) 217-0772
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Aleem Ali, MDNPI 1497076129
Title
Owner
Phone
(516) 764-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

30 Hempstead Ave Ste 144
Rockville Centre, NY 11570-4034

Mailing address

6918 32ND Ave
Woodside, NY 11377-2033
Phone (718) 639-9100

Other identifiers 1

IdentifierTypeStateIssuer
257228OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230414000388 NY Part B Supplier - Clinic/Group Practice 2769857218 Receives reassigned benefits from 21 practitioners
Practice locations: Mount Sinai, NY; Oceanside, NY; Plainview, NY; Rockville Centre, NY; Valley Stream, NY; West Babylon, NY; Westbury, NY; Woodside, NY…

National Provider Directory

National Provider Directory

Locations

69 N Service Rd
Lake Success, NY 11020
Phone (516) 341-9983

2151 Marion Pl
North Baldwin, NY 11510
Phone (516) 510-8319

1231 Old Country Rd
Plainview, NY 11803
Phone (516) 225-7032

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1245935824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 32ND AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772033",
            "telephone_number": "718-639-9100",
            "fax_number": "516-217-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE STE 144",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704034",
            "telephone_number": "516-764-6464",
            "fax_number": "516-217-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-764-6464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "257228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.