Active NPI
Amro Aly Nassar, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fishkill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 317521-01
- Practice address
- 400 Westage Business Ctr Dr Ste 209
Fishkill, NY 12524-2295 - Phone
- (845) 896-0736
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 317521-01 | NY | Primary |
Addresses
Primary practice location
400 Westage Business Ctr Dr Ste 209
Fishkill, NY 12524-2295
Mailing address
400 Westage Business Ctr Dr Ste 209
Fishkill, NY 12524-2295
Phone (845) 896-0736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230801000993 | NY | Practitioner - Pathology | 5092051870 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- George Washington University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317521-01 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Medical Group, PLLC | Current | Accepting new patients | |
| Ravi Hotchandani MD PC | Past | Accepting new patients |
Locations
111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915
400 Westage Business Ctr Dr
Ste 104
Fishkill, NY 12524
Phone (845) 896-2928
400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392
400 Westage Business Ctr Dr
Ste 202
Fishkill, NY 12524
Phone (845) 896-0736
159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJAHCA
Organizations & group practices 2
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.
-
- Specialist
- Poughkeepsie, NY
- NPI 1992759351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1679004089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WESTAGE BUSINESS CTR DR STE 209",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242295",
"telephone_number": "845-896-0736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTAGE BUSINESS CTR DR STE 209",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242295",
"telephone_number": "845-896-0736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSAR",
"first_name": "AMRO",
"middle_name": "ALY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "317521-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.