Active NPI
Ahava Medical Care P.L.L.C.
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1376411249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AHAVA MEDICAL CARE P.L.L.C.
- Practice address
- 1659 Ralph Ave
Brooklyn, NY 11236-3381 - Phone
- (718) 255-9955
- NPI assigned
- Oct 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilya Tarascin, DO
- Title
- Owner
- Phone
- (516) 616-8629
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1659 Ralph Ave
Brooklyn, NY 11236-3381
Mailing address
1659 Ralph Ave
Brooklyn, NY 11236-3381
Phone (718) 255-9955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251121000229 | NY | Part B Supplier - Clinic/Group Practice | 0648762237 |
Receives reassigned benefits from 3 practitioners Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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": "1761177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1376411249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1659 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363381",
"telephone_number": "718-255-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1659 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363381",
"telephone_number": "718-255-9955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHAVA MEDICAL CARE P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-23",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "TARASCIN",
"authorized_official_first_name": "ILYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-616-8629",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.