Individual provider Active NPI

Ameet Doshi, M.D.

  • Internal Medicine Physician
  • Kearny, NJ
National Provider Identifier
1255694402
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56528 Issued in MN
Practice address
512 Kearny Ave Ste B
Kearny, NJ 07032-2703
Phone
(201) 998-7474
NPI assigned
Jun 22, 2012
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 175250 OR
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 56528 MN Primary

Addresses

Primary practice location

512 Kearny Ave Ste B
Kearny, NJ 07032-2703

Mailing address

512 Kearny Ave Ste B
Kearny, NJ 07032-2703
Phone (201) 998-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NJ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170920003264 WI Practitioner - Internal Medicine 2365745130 Reassigns benefits to 3 organizations
I20221107001569 NJ Practitioner - Internal Medicine 2365745130 Reassigns benefits to 1 organization
I20230518000783 NY Practitioner - Internal Medicine 2365745130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Care Associates of West HudsonGroup PAC ID 9133131949, 4 clinicians

Practice addresses (Care Compare)

512 Kearny Ave
Kearny, NJ 07032-2703
Phone (201) 998-7474

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
175250ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince Dec 24, 2019 Accepting new patients
Southwest Suffolk Medical, P.C. CurrentSince Feb 9, 2023 Accepting new patients
Westfields Hospital, Inc. CurrentSince Dec 24, 2019 Accepting new patients
Hudson Hospital, Inc. CurrentSince Dec 24, 2019 Accepting new patients
Hudson Hospital, Inc. CurrentSince Dec 24, 2019 Accepting new patients
Westfields Hospital, Inc CurrentSince Dec 24, 2019 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Feb 9, 2023 Accepting new patients
Premier Care Associates of West Hudson Internal Medicine CurrentSince Jun 24, 2022 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 24, 2019 Accepting new patients
Westfields Hospital, Inc. Current Accepting new patients

Locations

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

450 Bergen St
Harrison, NJ 07029
Phone (973) 484-6900

206 Bergen Ave
Ste 201
Kearny, NJ 07032
Phone (201) 948-5879

512 Kearny Ave
Kearny, NJ 07032
Phone (201) 428-2424

512 Kearny Ave
Ste B
Kearny, NJ 07032
Phone (201) 998-7474

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

Networks

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

Organizations & group practices 10

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.

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1255694402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 KEARNY AVE STE B",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322703",
            "telephone_number": "201-998-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 KEARNY AVE STE B",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322703",
            "telephone_number": "201-998-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "AMEET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "175250",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "56528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.