NPIMap

Organization Active NPI

Omni Medical of Ny, PC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1487023768
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OMNI MEDICAL OF NY, PC
Practice address
115 E 57TH St
Suite 1240
New York, NY 10022-2049
Phone
(212) 319-3977
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Dr. Ali Aboufares, M.D.NPI 1508837287
Title
Owner
Phone
(212) 319-3977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

115 E 57TH St
Suite 1240
New York, NY 10022-2049

Mailing address

115 E 57TH St
Suite 1240
New York, NY 10022-2049
Phone (212) 319-3977

Other names 1

  • OMNY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151118000480 NY Part B Supplier - Clinic/Group Practice 2062712367 Receives reassigned benefits from 9 practitioners
Practice locations: Jackson Heights, NY; New York, NY; Woodside, NY; Bronx, NY; Hartsdale, NY; Brooklyn, NY; Glendale, NY; Hempstead, NY

National Provider Directory

National Provider Directory

Locations

3620 E Tremont Ave
Ste 103
Bronx, NY 10465
Phone (718) 409-0400

1414 Newkirk Ave
Ste 3
Brooklyn, NY 11226

2361 Nostrand Ave
Brooklyn, NY 11210
Phone (845) 380-3674

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

115 E 57th St
Ste 1240
New York, NY 10022

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1487023768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 1240",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-319-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE 1240",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-319-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI MEDICAL OF NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "ABOUFARES",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-319-3977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.