Organization Active NPI

Jose D Aristy MD PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1356950729
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOSE D ARISTY MD PC
Practice address
295 Fort Washington Ave Apt C
New York, NY 10032-1210
Phone
(917) 261-5300
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Dr. Jose David Aristy, MDNPI 1952694382
Title
Adm
Phone
(917) 261-5300

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

295 Fort Washington Ave Apt C
New York, NY 10032-1210

Mailing address

295 Fort Washington Ave Apt C
New York, NY 10032-1210
Phone (917) 261-5300

Other identifiers 1

IdentifierTypeStateIssuer
04884933MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422002453 NY Part B Supplier - Clinic/Group Practice 8820406242 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2219989Jose D Aristy MD PC295 Fort Washington Ave Unit C, Manhattan, NY 10032Provider-performed microscopyApr 7, 2027

National Provider Directory

National Provider Directory

Locations

295 Fort Washington Ave
Apt C
New York, NY 10032
Phone (646) 991-9000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFICCD

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1356950729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 FORT WASHINGTON AVE APT C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321210",
            "telephone_number": "917-261-5300",
            "fax_number": "929-925-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FORT WASHINGTON AVE APT C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321210",
            "telephone_number": "917-261-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE D ARISTY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "ARISTY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "917-261-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04884933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.