Active NPI
Bhaveshkumar B Ahir
- Physical Therapist
- Hollis, NY
National Provider Identifier
1659849032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043563
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210526001948 | MD | Practitioner - Physical Therapist in Private Practice | 6901140995 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27200 | MD | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac Anesthesia, PC | Single Specialty | Current | 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.