Organization Active NPI

Asha Dua Physician PC

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1669664686
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
215740 Issued in NY
Legal business name
ASHA DUA PHYSICIAN PC
Practice address
2035 Ralph Ave
Ste B10
Brooklyn, NY 11234-5300
Phone
(718) 251-4878
Fax
(718) 968-0573
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Dr. Asha Dua, PCNPI 1932165164
Title
Physical Medicine and Rehab
Phone
(718) 251-4878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 215740 NY
Durable Medical Equipment & Medical Supplies 332B00000X 215740 NY Primary

Addresses

Primary practice location

2035 Ralph Ave
Ste B10
Brooklyn, NY 11234-5300

Mailing address

6 Meadowbrook LN
Old Westbury, NY 11568-1112
Phone (718) 251-4878

Other identifiers 2

IdentifierTypeStateIssuer
03196967MedicaidNY
02084646MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080229000240 NY Part B Supplier - Clinic/Group Practice 4688755408 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2035 Ralph Ave
Ste B10
Brooklyn, NY 11234
Phone (718) 251-4878

2035 Ralph Ave
#B10
Brooklyn, NY 11234
Phone (718) 251-4878

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1669664686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEADOWBROOK LN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681112",
            "telephone_number": "718-251-4878",
            "fax_number": "718-968-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "STE B10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-251-4878",
            "fax_number": "718-968-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHA DUA PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "DUA",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "PHYSICAL MEDICINE AND REHAB",
        "authorized_official_telephone_number": "718-251-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "215740",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "215740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03196967",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02084646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.