Active NPI
Aric Hausknecht, MD
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- New York, NY
National Provider Identifier
1508942046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 190271
- Practice address
- 19 E 37TH St
New York, NY 10016-3005 - Phone
- (212) 239-2112
- Fax
- (212) 239-4224
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 190271 | NY | Primary |
| Pain Medicine Physician | 208VP0000X | 190271 | NY |
Addresses
Primary practice location
19 E 37TH St
New York, NY 10016-3005
Mailing address
19 E 37TH St
New York, NY 10016-3005
Phone (212) 239-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01689216 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Icahn School of Medicine at Mount Sinai, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19 E 37TH St
New York, NY 10016-3005
Phone (212) 239-2112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190271 | NY | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Medical Care Services of New York, PC | Current | Accepting new patients | |
| Dr. David N Lifschutz, MD | Past | Accepting new patients | |
| Integrated Neurological Associates, PLLC | Past | Accepting new patients |
Locations
2488 Grand Concourse
Bronx, NY 10458
Phone (212) 695-5122
2488 Grand Concourse
Rm 310
Bronx, NY 10458
Phone (718) 425-4160
6915 Austin St
Forest Hills, NY 11375
Phone (718) 263-3500
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 3
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.
-
- Pain Clinic/Center
- New York, NY
- NPI 1508032426
-
- Neurology Physician
- Hewlett, NY
- NPI 1114159571
-
- Specialist
- Brooklyn, NY
- NPI 1275763906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1508942046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E 37TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163005",
"telephone_number": "212-239-2112",
"fax_number": "212-239-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E 37TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163005",
"telephone_number": "212-239-2112",
"fax_number": "212-239-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSKNECHT",
"first_name": "ARIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "NY",
"license": "190271",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "190271",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01689216",
"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 Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.