Individual provider Active NPI

Ali Ghomi, MD

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
National Provider Identifier
1639196520
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
229501 Issued in NY
Practice address
2157 Main St
Buffalo, NY 14214-2648
Phone
(716) 862-1965
NPI assigned
Jul 16, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 229501 NY Primary

Addresses

Primary practice location

2157 Main St
Buffalo, NY 14214-2648

Mailing address

908 Niagara Falls Blvd
Ste 208
N Tonawanda, NY 14120-2019
Phone (716) 692-3302

Other identifiers 3

IdentifierTypeStateIssuer
02533324MedicaidNY
0712491OtherNYIHA
1239668OtherNYGHI PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20210916000166 NJ Practitioner - Obstetrics/Gynecology 0648166777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Women's Imaging PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
University Gynecologists & Obstetricians,Inc. Obstetrics & Gynecology Past Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Bone Densitometry Center PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Obstetrical and Gynecological Associates Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

57 Willowbrook Blvd
Wayne, NJ 07470
Phone (201) 288-6330

Organizations & group practices 17

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.

View all 17

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1639196520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-213-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOMI",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "229501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533324",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0712491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "1239668",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.