Individual provider Active NPI

Aric Hausknecht, MD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • New York, NY
National Provider Identifier
1508942046
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
190271 Issued in NY
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

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01689216MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000419 NY Practitioner - Neurology 9739141896 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
190271NYMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Medical Care Services of New York, PC CurrentSince May 23, 2008 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.

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

Verify at the official NPI Registry.