Individual provider Active NPI

Ali Aboufares, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1508837287
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
244925 Issued in NY
Practice address
115 E 57TH St
Suite 1240
New York, NY 10022-2049
Phone
(212) 319-3977
Fax
(212) 319-4263
NPI assigned
Jan 30, 2006
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD426289 PA
Interventional Cardiology Physician 207RI0011X 244925 NY 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 identifiers 5

IdentifierTypeStateIssuer
GU039823OtherPAMEDICARE GROUP
1013506880001MedicaidPA
02673063MedicaidNY
P00234348OtherPARAILROAD MEDICARE PIN
CC9269OtherPARR MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081216000006 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2961480629 Reassigns benefits to 3 organizations
I20220713000005 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2961480629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Omni Medical of Ny PCGroup PAC ID 2062712367, 5 clinicians
Empire Vascular LLCGroup PAC ID 2163820309, 3 clinicians
Empire State Interventional and Endovascular Medicine PCGroup PAC ID 5092124206, 10 clinicians

Practice addresses (Care Compare)

1009 79TH St
Suite 1
North Bergen, NJ 07047-4981
Phone (212) 319-3977

115 E 57TH St
Suite 1240
New York, NY 10022-2111
Phone (212) 319-3977

1155 E Jersey St
Elizabeth, NJ 07201-2310
Phone (516) 862-4900

650 E 104TH St
Brooklyn, NY 11236-2504
Phone (516) 862-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
14.92 of 100Reported as individual
Quality
25
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal443
Leg revascularization (restoring blood flow)61
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244925NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Ambulatory Surgery Center, LLC CurrentSince Apr 11, 2025 Accepting new patients
Omni Medical of Ny, PC CurrentSince Dec 1, 2015 Accepting new patients
Empire State Interventional and Endovascular Medicine PC CurrentSince Jun 23, 2021 Accepting new patients
Empire Vascular LLC CurrentSince Jun 16, 2022 Accepting new patients
Nova Diagnostic Services LLC CurrentSince Oct 13, 2023 Accepting new patients
Omni Medical of NJ PC Interventional Cardiology CurrentSince Jan 1, 2024 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Trustees Columbia University City Ny Center Interventional Vascular TH Interventional Cardiology PastSince Aug 16, 2004 Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Interventional Cardiology Past Accepting new patients
Ira R. Hoffman MD and Murray R. Rogers, MD PC Past Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

1009 79th St
Ste 1
North Bergen, NJ 07047
Phone (201) 869-3737

3602 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 226-4300

3900 Shore Pkwy
Brooklyn, NY 11235
Phone (718) 646-5700

650 E 104th St
Brooklyn, NY 11236
Phone (516) 721-7625

456 Central Ave
Unit A
Cedarhurst, NY 11516

210 Beach 47th St
Far Rockaway, NY 11691
Phone (516) 447-7110

1041 3rd Ave
Ste 201
New York, NY 10065
Phone (212) 535-3222

110 E 60th St
Ste 404
New York, NY 10022

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

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Networks

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

Interoperability endpoints

  • Direct secure messaging: aaboufares64498@northwell.direct-ci.com
  • Direct secure messaging: ala9063@direct.nyp.org
  • FHIR API: https://api.platform.athenahealth.com/9611/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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 14

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1508837287",
    "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",
            "fax_number": "212-319-4263"
        },
        {
            "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",
            "fax_number": "212-319-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUFARES",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD426289",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "244925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GU039823",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013506880001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673063",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00234348",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC9269",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.