Active NPI
Mohammad Athar, MD
- Orthopaedic Surgery Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 316870
- Practice address
- 2500 Nesconset Highway
Building 10 Unit D
Stony Brook, NY 11790 - Phone
- (631) 981-2663
- Fax
- (212) 203-9223
- NPI assigned
- Aug 3, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 316870 | NY | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 316870 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 316870 | NY | Primary |
Addresses
Primary practice location
2500 Nesconset Highway
Building 10 Unit D
Stony Brook, NY 11790
Mailing address
10011 70TH Ave
Forest Hills, NY 11375-5132
Phone (917) 946-9681
Other practice location 1
970 Wellwood Ave
Lindenhurst, NY 11757-1016
Phone (631) 981-2663
Other practice location 2
5221 Little Neck Pkwy
Little Neck, NY 11362-1836
Phone (631) 981-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221026000081 | NJ | Practitioner - Orthopedic Surgery | 9537535943 | Reassigns benefits to 1 organization |
| I20240115000177 | NY | Practitioner - Orthopedic Surgery | 9537535943 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2500 Nesconset Hwy
Stony Brook, NY 11790-2555
Phone (631) 981-2663
Hospital & facility affiliations
- Peconic Bay Homehealth Services
- Peconic Bay Medical Center
- St Catherine of Siena Hospital
- John T Mather Memorial Hospital of Port Jefferson
- North Shore University Hospital
- NS/Lij HS Southside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316870 | NY | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Comp Concussion LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Tri-State Specialists LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Aa Medical, PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
300 Executive Dr
Ste 110
West Orange, NJ 07052
Phone (908) 588-2311
116 S Euclid Ave
Ste 1
Westfield, NJ 07090
Phone (908) 232-5551
1787 Middle Country Rd
Centereach, NY 11720
Phone (631) 320-0447
970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289
5221 Little Neck Pkwy
Little Neck, NY 11362
Phone (631) 987-2663
2500 Nesconset Hwy
Bldg 10D
Stony Brook, NY 11790
Phone (631) 751-0600
Interoperability endpoints
- mathar70397@northwell.direct-ci.com
- mohammad.athar.1@21645.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Westfield, NJ
- NPI 1346808045
NJ, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Westfield, NJ
- NPI 1477340917
Orthopaedic Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
Hospital
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1689301368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10011 70TH AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755132",
"telephone_number": "917-946-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NESCONSET HIGHWAY",
"address_2": "BUILDING 10 UNIT D",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790",
"telephone_number": "631-981-2663",
"fax_number": "212-203-9223"
}
],
"practiceLocations": [
{
"address_1": "970 Wellwood Ave",
"address_purpose": "LOCATION",
"city": "Lindenhurst",
"state": "NY",
"postal_code": "117571016",
"country_code": "US",
"telephone_number": "631-981-2663",
"fax_number": "212-203-9223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5221 Little Neck Pkwy",
"address_purpose": "LOCATION",
"city": "Little Neck",
"state": "NY",
"postal_code": "113621836",
"country_code": "US",
"telephone_number": "631-981-2663",
"fax_number": "212-203-9223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATHAR",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-03",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NY",
"license": "316870",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NY",
"license": "316870",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "316870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.