Individual provider Active NPI

Mir Ali

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1710740261
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P126849 Issued in NY
Practice address
48 Cedar St
Brooklyn, NY 11221-3253
Phone
(718) 455-6200
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P126849 NY Primary

Addresses

Primary practice location

48 Cedar St
Brooklyn, NY 11221-3253

Mailing address

600 E Crescent Ave Ste 305
Upper Saddle River, NJ 07458-1846

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318001568 NY Practitioner - Internal Medicine 7012354749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear Choice Medical PCGroup PAC ID 1759636491, 5 clinicians

Practice addresses (Care Compare)

7005 35TH Ave
Jackson Heights, NY 11372-3970
Phone (718) 662-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P126849NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC CurrentSince Jan 7, 2024 Accepting new patients
Clear Choice Medical PC Internal Medicine CurrentSince Feb 18, 2024 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3438 Bell Blvd
Ste 301
Bayside, NY 11361

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

641 W 230th St
Bronx, NY 10463
Phone (646) 285-1720

48 Cedar St
Brooklyn, NY 11221
Phone (718) 455-6200

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800

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.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1710740261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CRESCENT AVE STE 305",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CEDAR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213253",
            "telephone_number": "718-455-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P126849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.