Individual provider Active NPI

Alexander Gart, MD

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1376610758
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
214736 Issued in NY
Practice address
161 Fort Washington Ave
New York, NY 10032-3729
Phone
(212) 305-8665
NPI assigned
Nov 29, 2006
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 214736 NY
Vascular Surgery Physician 2086S0129X 214736 NY Primary

Addresses

Primary practice location

161 Fort Washington Ave
New York, NY 10032-3729

Mailing address

PO Box 27036
New York, NY 10087-7036

Other practice location 1

2444 86th St
Brooklyn, NY 11214-4415
Phone (347) 707-7430

Other identifiers 2

IdentifierTypeStateIssuer
02375726MedicaidNY
0306380MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000552 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 0345136495 Reassigns benefits to 26 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Queens Professional Medical Services of New York LLCGroup PAC ID 2062777527, 3 clinicians
Queens Medical of New York LLCGroup PAC ID 3870748692, 4 clinicians
Bushwick Medical of New York LLCGroup PAC ID 5092068262, 21 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
USA Medical of Bensonhurst LLCGroup PAC ID 3173746799, 3 clinicians
New York Professional Medical Services LLCGroup PAC ID 9537483565, 4 clinicians
Brighton Beach Medical of New York, LLCGroup PAC ID 6406136217, 2 clinicians
Foxhurst Medical of New York LLCGroup PAC ID 6901151778, 21 clinicians

Practice addresses (Care Compare)

11602 Queens Blvd
Suite a
Forest Hills, NY 11375-7055
Phone (718) 301-1100

155 Dyckman St
Suite C
New York, NY 10040-1003
Phone (646) 798-3978

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2444 86TH St
Brooklyn, NY 11214-4415
Phone (718) 878-4303

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

2965 Ocean Pkwy
Suite 200
Brooklyn, NY 11235-8014
Phone (718) 280-5573

441 Knickerbocker Ave
Suite B
Brooklyn, NY 11237-4508
Phone (347) 773-2684

947 Southern Blvd
Suite B
Bronx, NY 10459-3401
Phone (718) 513-5855

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal186
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214736NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bushwick Professional Medical Services of New York LLC Vascular Surgery CurrentSince Dec 23, 2018 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Dec 26, 2024 Accepting new patients
Starrett City Medical of New York LLC Vascular Surgery CurrentSince Feb 17, 2018 Accepting new patients
Pelham Pkwy Professional Medical Services of New York LLC Vascular Surgery CurrentSince May 9, 2018 Accepting new patients
Quality Medical Management Corp CurrentSince Dec 7, 2021 Accepting new patients
Queens Professional Medical Services of New York LLC Vascular Surgery CurrentSince Jun 13, 2018 Accepting new patients
Pelham Pkwy Medical of New York LLC Vascular Surgery CurrentSince Mar 13, 2018 Accepting new patients
Foxhurst Professional Medical Services of New York LLC Vascular Surgery CurrentSince Jun 4, 2018 Accepting new patients
Jamaica Queens Medical of New York LLC Vascular Surgery CurrentSince Mar 3, 2018 Accepting new patients
Corona Medical of New York LLC Vascular Surgery CurrentSince Feb 24, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2018 Accepting new patients
New York City Healthcare Medical Services LLC Vascular Surgery CurrentSince Jul 7, 2026 Accepting new patients
Trustees of Columbia University in the City of New York Surgery Current Accepting new patients
Norwood Professional Medical Services of New York LLC Vascular Surgery CurrentSince Nov 1, 2018 Accepting new patients
New York Professional Medical Services LLC Vascular Surgery CurrentSince Jan 1, 2014 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2018 Accepting new patients
Foxhurst Medical of New York LLC Vascular Surgery CurrentSince Jun 4, 2018 Accepting new patients
Astoria Medical of New York, LLC Vascular Surgery CurrentSince Feb 24, 2018 Accepting new patients
Mott Haven Professional Medical of New York LLC Vascular Surgery CurrentSince Mar 28, 2018 Accepting new patients
TJH Medical Services, P.C. Surgery Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Jan 23, 2018 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients

Locations (25 of 62)

3033 Steinway St
Astoria, NY 11103
Phone (718) 709-5329

3033 Steinway St
Ste C
Astoria, NY 11103
Phone (347) 773-2684

4025 Hempstead Tpke
Ste A
Bethpage, NY 11714
Phone (646) 798-8502

4025 Hempstead Tpke
Ste B
Bethpage, NY 11714
Phone (929) 207-9470

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

1949 Westchester Ave
Ste A
Bronx, NY 10462
Phone (929) 254-3405

1949 Westchester Ave
Ste B
Bronx, NY 10462
Phone (929) 248-4824

2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845

2157 White Plains Rd
Ste B
Bronx, NY 10462

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

3485 Jerome Ave
#A
Bronx, NY 10467
Phone (347) 547-3099

384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240

384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441

5199 Broadway
Ste A
Bronx, NY 10463
Phone (347) 812-0779

5199 Broadway
Ste C
Bronx, NY 10463
Phone (718) 732-1071

947 Southern Blvd
Ste A
Bronx, NY 10459
Phone (718) 513-5855

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

2444 86th St
Brooklyn, NY 11214
Phone (718) 709-5329

2444 86th St
#102A
Brooklyn, NY 11214
Phone (347) 230-8174

2444 86th St
Ste 102A
Brooklyn, NY 11214

2444 86th St
Ste C
Brooklyn, NY 11214
Phone (718) 732-1071

2511 Ocean Ave
Ste 102
Brooklyn, NY 11229
Phone (718) 504-6044

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

27 Graham Ave
Ste A
Brooklyn, NY 11206

Networks

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

Interoperability endpoints

  • Direct secure messaging: agart840174@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

Hospital & facility affiliations 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1376610758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27036",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-8665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2444 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112144415",
            "country_code": "US",
            "telephone_number": "347-707-7430",
            "fax_number": "224-235-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GART",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "214736",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "214736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02375726",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306380",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.