Active NPI
Jeffrey M. Ahn M.D., PC
- Otolaryngology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 175143
- Legal business name
- JEFFREY M. AHN M.D., PC
- Practice address
- 45 Park Ave
New York, NY 10016-3487 - Phone
- (212) 714-9494
- NPI assigned
- Feb 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey M. Ahn, M.D.
- Title
- Owner/Provider
- Phone
- (212) 714-9494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 175143 | NY | |
| Otolaryngology Physician | 207Y00000X | 175143 | NY | Primary |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 175143 | NY |
Addresses
Primary practice location
45 Park Ave
New York, NY 10016-3487
Mailing address
45 Park Ave
New York, NY 10016-3487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100226000168 | NY | Part B Supplier - Clinic/Group Practice | 4183769375 |
Receives reassigned benefits from 1 practitioner Practice locations: New York, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Jeffrey M Ahn MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Fort Lee, NJ
- NPI 1477875540
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- New York, NY
- NPI 1740326305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266364800000",
"number": "1578885653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163487",
"telephone_number": "212-714-9494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M. AHN M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A",
"authorized_official_last_name": "AHN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "212-714-9494",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "175143",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "NY",
"license": "175143",
"primary": true
},
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "NY",
"license": "175143",
"primary": false
}
],
"identifiers": [],
"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 Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.