Jacquelyn B Afari, M.D.
Individual provider Active NPI Internal Medicine Physician · Bronx, NY
NPI 1376581298 · NPPES record last updated Oct 19, 2012
Key facts
- NPI
- 1376581298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 206326 (NY)
- Practice address
- 2409 Barker Avenue
1St Floor
Bronx, NY 10467 - Phone
- (718) 231-7800
- Fax
- (718) 231-7850
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- New York University Medical College - NLG, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2409 Barker Ave
1St Floor
Bronx, NY 10467-7601
Phone (718) 231-7800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040609001494 | NY | Practitioner - Internal Medicine |
4486637543 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206326 | NY | MD | Internal Medicine Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Diagnostic Nephrology, PC | Current |
Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past |
Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jacquelyn.afari@medicaldiagnosticnephrologypc.ehi.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 206326 | NY | Yes |
Addresses
Primary practice location
2409 Barker Avenue
1St Floor
Bronx, NY 10467
Mailing address
2409 Barker Avenue
1St Floor
Bronx, NY 10467
Phone (718) 231-7800
Other providers in Bronx, NY
- Patience Adwobeng
- Abbosbek Adxamov
- Barbara Adzaku
- Eunice Tamia Adzedeweh
- Omar Afandi
- Edwina Afenu-Lamptey
- Eden Afework
- Affection Home Health Care Ny LLC
- Affinity Health Plan
- Nijah Faith Afflic
All providers in Bronx, NY · Internal Medicine Physician 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 Oct 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.