Active NPI
Jeffrey Ahn, M.D.
- Specialist
- New York, NY
National Provider Identifier
1740326305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 175143
- Practice address
- 45 Park Ave
1St FL.
New York, NY 10016-3494 - Phone
- (212) 714-9494
- Fax
- (212) 481-3629
- NPI assigned
- Jan 30, 2007
- Last updated
- May 13, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 175143 | NY | Primary |
Addresses
Primary practice location
45 Park Ave
1St FL.
New York, NY 10016-3494
Mailing address
PO Box 734
FDR Station
New York, NY 10150-0734
Phone (212) 714-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Columbia University College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1485 Palisade Ave
Fort Lee, NJ 07024-5346
Phone (201) 461-9400
45 Park Ave
PH 1
New York, NY 10016-3494
Phone (212) 714-9494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/JHGBCA/Endpoint/JHGBCA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- New York, NY
- NPI 1578885653
-
- Otolaryngology Physician
- Fort Lee, NJ
- NPI 1477875540
-
- Surgery Physician
- New York, NY
- NPI 1508266347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1740326305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734",
"address_2": "FDR STATION",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101500734",
"telephone_number": "212-714-9494",
"fax_number": "212-481-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 PARK AVE",
"address_2": "1ST FL.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163494",
"telephone_number": "212-714-9494",
"fax_number": "212-481-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "175143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.