Organization Active NPI

Long Island Psychiatric Associates PC

  • Psychiatry Physician
  • Long Beach, NY
National Provider Identifier
1639216328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LONG ISLAND PSYCHIATRIC ASSOCIATES PC
Practice address
871 E Park Ave
Long Beach, NY 11561-2709
Phone
(516) 889-8844
Fax
(516) 889-8857
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ashok N Bhatt, M. D.NPI 1891879524
Title
President
Phone
(516) 889-8844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

871 E Park Ave
Long Beach, NY 11561-2709

Mailing address

871 E Park Ave
Long Beach, NY 11561-2709
Phone (516) 889-8844

Other identifiers 1

IdentifierTypeStateIssuer
01399417MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001787 NY Part B Supplier - Clinic/Group Practice 6709776099 Receives reassigned benefits from 2 practitioners
Practice locations: Far Rockaway, NY; Long Beach, NY; Oceanside, NY

National Provider Directory

National Provider Directory

Locations

871 E Park Ave
Long Beach, NY 11561
Phone (516) 510-3205

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639216328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612709",
            "telephone_number": "516-889-8844",
            "fax_number": "516-889-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612709",
            "telephone_number": "516-889-8844",
            "fax_number": "516-889-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-889-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01399417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.