Individual provider Active NPI

Yashpal Arya, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1558398271
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
114955 Issued in NY
Practice address
129 Saint Nicholas Ave
1F
Brooklyn, NY 11237-4039
Phone
(718) 821-0643
Fax
(718) 628-4123
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 114955 NY Primary

Addresses

Primary practice location

129 Saint Nicholas Ave
1F
Brooklyn, NY 11237-4039

Mailing address

129 Saint Nicholas Ave
1F
Brooklyn, NY 11237-4039
Phone (718) 821-0643

Other identifiers 1

IdentifierTypeStateIssuer
00210779MedicaidNY

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
I20050326000002 NY Practitioner - Gastroenterology 4385690940

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114955NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1558398271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SAINT NICHOLAS AVE",
            "address_2": "1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374039",
            "telephone_number": "718-821-0643",
            "fax_number": "718-628-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SAINT NICHOLAS AVE",
            "address_2": "1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374039",
            "telephone_number": "718-821-0643",
            "fax_number": "718-628-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYA",
        "first_name": "YASHPAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "114955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00210779",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.