Individual provider Active NPI

Bhaveshkumar B Ahir

  • Physical Therapist
  • Hollis, NY
National Provider Identifier
1659849032
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043563 Issued in NY
Practice address
19617 Hillside Ave
Hollis, NY 11423-2157
Phone
(718) 479-3900
Fax
(718) 479-1014
NPI assigned
Nov 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 043563 NY Primary

Addresses

Primary practice location

19617 Hillside Ave
Hollis, NY 11423-2157

Mailing address

19617 Hillside Ave
Hollis, NY 11423-2157
Phone (718) 479-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526001948 MD Practitioner - Physical Therapist in Private Practice 6901140995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27200MDMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mac Anesthesia, PC Single Specialty CurrentSince Nov 1, 2018 Accepting new patients

Locations

1815 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 479-3900

11208 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 479-3900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1659849032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19617 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232157",
            "telephone_number": "718-479-3900",
            "fax_number": "718-479-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19617 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232157",
            "telephone_number": "718-479-3900",
            "fax_number": "718-479-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHIR",
        "first_name": "BHAVESHKUMAR",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.