Individual provider Active NPI

Ahron Milworm, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1295741015
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
241004 Issued in NY
Practice address
4303 14TH Ave
Brooklyn, NY 11219-1429
Phone
(718) 436-7800
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241004 NY Primary

Addresses

Primary practice location

4303 14TH Ave
Brooklyn, NY 11219-1429

Mailing address

4303 14TH Ave
Brooklyn, NY 11219-1429
Phone (718) 436-7800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000638 NY Practitioner - Internal Medicine 0042215600 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ave X Medical Testing Corp Current Accepting new patients
Coney Island Medical Practice Plan, P.C. Past Accepting new patients
Achieve Medical Services PC PastSince Jan 1, 2012 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1295741015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191429",
            "telephone_number": "718-436-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191429",
            "telephone_number": "718-436-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILWORM",
        "first_name": "AHRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.