Individual provider Active NPI

Arif Rehmat Masih, NP

  • Nurse Practitioner
  • Woodside, NY
National Provider Identifier
1417468885
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
308487 Issued in NY
Practice address
3719 69TH St
Woodside, NY 11377-2854
Phone
(718) 639-2913
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 308487 NY Primary

Addresses

Primary practice location

3719 69TH St
Woodside, NY 11377-2854

Mailing address

3719 69TH St
Woodside, NY 11377-2854
Phone (347) 761-5591

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303000848 NY Practitioner - Nurse Practitioner 0547697658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308487NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Care NP in Adult Health PLLC Nurse Practitioner CurrentSince Jan 9, 2024 Accepting new patients

Locations

3508 Junction Blvd
Flushing, NY 11368
Phone (917) 302-1143

Networks

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1417468885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 69TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772854",
            "telephone_number": "347-761-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 69TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772854",
            "telephone_number": "718-639-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIH",
        "first_name": "ARIF",
        "middle_name": "REHMAT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "308487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.