NPIMap

Organization Active NPI

Ajay 28 LLC

Doing business as New York Preventive Health Center

  • Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1609342898
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AJAY 28 LLC
Doing business as
New York Preventive Health Center
Practice address
6860 Austin St
Forest Hills, NY 11375-4245
Phone
(718) 997-7100
Fax
(718) 997-7499
NPI assigned
Oct 16, 2018
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Mr. Ahmad Masoud
Title
President
Phone
(718) 640-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

6860 Austin St
Forest Hills, NY 11375-4245

Mailing address

6860 Austin St
Forest Hills, NY 11375-4245

Other names 1

  • New York Preventive Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190122002046 NY Part B Supplier - Clinic/Group Practice 9830436328 Receives reassigned benefits from 40 practitioners
Practice locations: Forest Hills, NY
O20260522000813 NY DME Supplier - Physician - Endocrinology 9830436328 Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

6860 Austin St
#910
Forest Hills, NY 11375

6860 Austin St
Ste 10
Forest Hills, NY 11375
Phone (718) 896-4100

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1609342898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754245",
            "telephone_number": "718-997-7100",
            "fax_number": "718-997-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJAY 28 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "MASOUD",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-640-6152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Preventive Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.

Verify at the official NPI Registry.