NPIMap

Individual provider Active NPI

Jahan Aghalar, M.D.

  • Internal Medicine Physician
  • Commack, NY
National Provider Identifier
1346474517
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
251445 Issued in NY
Practice address
650 Commack Rd
Commack, NY 11725-5404
Phone
(631) 623-4000
Fax
(631) 864-3827
NPI assigned
May 4, 2009
Last updated
Jul 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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 251445 NY Primary

Addresses

Primary practice location

650 Commack Rd
Commack, NY 11725-5404

Mailing address

650 Commack Rd
Commack, NY 11725-5404
Phone (631) 623-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000091 NY Practitioner - Medical OncologyPractitioner - Internal Medicine 4284823253 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

4564 Francis Lewis Blvd
Suite 202
Bayside, NY 11361-3047
Phone (631) 751-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Nov 5, 2020 Accepting new patients
Memorial Solid Tumor Group Internal Medicine CurrentSince Jul 28, 2014 Accepting new patients
Mskcc Regional Network CurrentSince Jul 28, 2014 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

4564 Francis Lewis Blvd
Ste 202
Bayside, NY 11361

650 Commack Rd
Commack, NY 11725
Phone (631) 623-4000

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1 Delaware Dr
Ste 101
New Hyde Park, NY 11042

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: jaghalar485642@nyumc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1346474517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255404",
            "telephone_number": "631-623-4000",
            "fax_number": "631-864-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255404",
            "telephone_number": "631-623-4000",
            "fax_number": "631-864-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHALAR",
        "first_name": "JAHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.