Active NPI
Ralph Aquila, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1497814396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 178593
- Practice address
- 350A W 49TH St
New York, NY 10019-7383 - Phone
- (212) 586-4773
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 178593 | NY | Primary |
Addresses
Primary practice location
350A W 49TH St
New York, NY 10019-7383
Mailing address
167 Upper Mountain Ave
Montclair, NJ 07042-1905
Phone (212) 586-4773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01605247 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178593 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S-Roosevelt Hospital Center | Past | Accepting new patients | |
| Horizon House - Delaware Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1891977344
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, DE
- NPI 1881719268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497814396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 UPPER MOUNTAIN AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070421905",
"telephone_number": "212-586-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350A W 49TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100197383",
"telephone_number": "212-586-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUILA",
"first_name": "RALPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "178593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01605247",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.