Individual provider Active NPI

Jared Newman, AGNP-C

  • Adult Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1467110924
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310533 Issued in NY
Practice address
11020 71St Rd Apt 819
Forest Hills, NY 11375-4904
Phone
(631) 235-2772
NPI assigned
Dec 2, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310533 NY Primary

Addresses

Primary practice location

11020 71St Rd Apt 819
Forest Hills, NY 11375-4904

Mailing address

11020 71St Rd Apt 819
Forest Hills, NY 11375-4904
Phone (631) 235-2772

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
I20220309002740 NY Practitioner - Nurse Practitioner 1254726284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ally Medical PCGroup PAC ID 2769857218, 9 clinicians
Internal Medicine Solutions P.C.Group PAC ID 4880904382, 18 clinicians

Practice addresses (Care Compare)

30 Hempstead Ave
Suite 144
Rockville Centre, NY 11570-4034
Phone (516) 764-6464

5905 Strickland Ave
Brooklyn, NY 11234-6425
Phone (718) 639-9100

6918 32ND Ave
Woodside, NY 11377-2033
Phone (718) 806-1434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as group
Quality
85.66
Promoting interoperability
100
Improvement activities
40
Cost
65.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310533NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Medical PC CurrentSince Sep 10, 2023 Accepting new patients
Internal Medicine Solutions P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

154 Prospect Ave
Plattsburgh, NY 12901
Phone (518) 563-5440

30 Hempstead Ave
Ste 144
Rockville Ctr, NY 11570
Phone (516) 490-9060

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1467110924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 71ST RD APT 819",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754904",
            "telephone_number": "631-235-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 71ST RD APT 819",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754904",
            "telephone_number": "631-235-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JARED",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.