Individual provider Active NPI

Piyal Alam, D.O.

  • Family Medicine Physician
  • Rye Brook, NY
National Provider Identifier
1609296383
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
281737 Issued in NY
Practice address
90 S Ridge St Ste Ul-1
Rye Brook, NY 10573-2855
Phone
(914) 481-5777
Fax
(914) 481-5267
NPI assigned
Apr 22, 2014
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 281737 NY Primary

Addresses

Primary practice location

90 S Ridge St Ste Ul-1
Rye Brook, NY 10573-2855

Mailing address

90 S Ridge St Ste Ul-1
Rye Brook, NY 10573-2855
Phone (914) 481-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20170630000388 NY Practitioner - Family Practice 4183993421 Reassigns benefits to 1 organization
I20170823003857 CT Practitioner - Family Practice 4183993421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group, PLLCGroup PAC ID 6204095201, 16 clinicians

Practice addresses (Care Compare)

3010 Westchester Ave
Suite 400
Purchase, NY 10577-2524
Phone (914) 235-6060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281737NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jul 15, 2017 Accepting new patients
Northeast Medical Group Inc CurrentSince Jul 15, 2017 Accepting new patients
Northeast Medical Group, PLLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Sound Shore Gastroenterology Associates PC Past Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

2015 W Main St
Ste 101
Stamford, CT 06902
Phone (203) 863-3750

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

3010 Westchester Ave
Ste 400
Purchase, NY 10577
Phone (914) 235-6060

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

26 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 251-1100

90 S Ridge St
Ste UL-1
Rye Brook, NY 10573
Phone (914) 481-4444

Interoperability endpoints

  • Direct secure messaging: palam367979@direct.ynhh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1609296383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST STE UL-1",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732855",
            "telephone_number": "914-481-5777",
            "fax_number": "914-481-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST STE UL-1",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732855",
            "telephone_number": "914-481-5777",
            "fax_number": "914-481-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "PIYAL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.