NPIMap

Individual provider Active NPI

Asha John, M.D.

  • Internal Medicine Physician
  • New City, NY
National Provider Identifier
1356679823
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2596431 Issued in NY
Practice address
10 Esquire Rd
Suite 9
New City, NY 10956
Phone
(845) 499-2460
Fax
(845) 499-2462
NPI assigned
Nov 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08590400 NJ
Internal Medicine Physician 207R00000X 2596431 NY Primary

Addresses

Primary practice location

10 Esquire Rd
Suite 9
New City, NY 10956

Mailing address

10 Esquire Rd
Suite 9
New City, NY 10956
Phone (845) 499-2460

Other names 1

  • Asha Alias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110502000490 NJ Practitioner - Internal Medicine 9234314527 Reassigns benefits to 1 organization
I20130115000340 NY Practitioner - Internal Medicine 9234314527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethel Medical Associates LLCGroup PAC ID 4688827116, 2 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

10 Esquire Rd
Suite 9
New City, NY 10956-3336
Phone (201) 254-4766

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2596431NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Medical Associates LLC Internal Medicine CurrentSince Nov 12, 2012 Accepting new patients
Valley Physician Services PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Vytaliz Medical Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. PastSince Nov 12, 2012 Accepting new patients

Locations

85 Harristown Rd
Ste 200
Glen Rock, NJ 07452
Phone (201) 444-4526

301 Godwin Ave
Midland Park, NJ 07432
Phone (201) 444-4526

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

10 Esquire Rd
Ste 9
New City, NY 10956
Phone (201) 254-4766

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1258761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1356679823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 9",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-499-2460",
            "fax_number": "845-499-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE RD",
            "address_2": "SUITE 9",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-499-2460",
            "fax_number": "845-499-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ASHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-21",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08590400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2596431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHA",
            "last_name": "ALIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.