Ajay Bahl
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Albertson, NY
NPI 1376418442 · NPPES record last updated Apr 26, 2026
Key facts
- NPI
- 1376418442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F40757601 (NY)
- Practice address
- 151 Wentworth Ave
Albertson, NY 11507-1728 - Phone
- (516) 698-3977
- NPI assigned
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 808467 | NY | MD | Registered Nurse |
| F40757601 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F40757601 | NY | Yes |
| Registered Nurse | 163W00000X | 808467 | NY |
Addresses
Primary practice location
151 Wentworth Ave
Albertson, NY 11507-1728
Mailing address
151 Wentworth Ave
Albertson, NY 11507-1728
Other providers in Albertson, NY
- Stephanie Annunziata
- Anastasia Antonopoulos
- Anjali Apte
- Arnacare Inc
- Audiology Services Company USA, LLC
- Jaya Bahl
- Dawn Marie Baratta
- Emily Pereira Barbosa
- Barbara Barone
- Farbod E Barzideh
All providers in Albertson, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.