NPIMap

Individual provider Active NPI

Ariel Nassim

  • Sports Medicine (Internal Medicine) Physician
  • Great Neck, NY
National Provider Identifier
1780959866
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
279137 Issued in NY
Practice address
1000 Northern Blvd
Ste 375
Great Neck, NY 11021-5312
Phone
(516) 773-3942
Fax
(516) 734-0172
NPI assigned
Mar 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 279137 NY
Sports Medicine (Internal Medicine) Physician 207RS0010X 279137 NY Primary

Addresses

Primary practice location

1000 Northern Blvd
Ste 375
Great Neck, NY 11021-5312

Mailing address

1000 Northern Blvd
Ste 375
Great Neck, NY 11021-5312
Phone (516) 773-3942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160526000434 NY Practitioner - Internal MedicinePractitioner - Sports Medicine 2668762097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nassim Medical PCGroup PAC ID 4082866785, 2 clinicians

Practice addresses (Care Compare)

1000 Northern Blvd
Suite 375
Great Neck, NY 11021-5312
Phone (516) 773-3942

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
279137NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nassim Medical PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Nassim Medical, P.C. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
North Shore University Hospital Past Accepting new patients
St. Francis Hospital Past Accepting new patients

Locations

13848 Elder Ave
Flushing, NY 11355
Phone (718) 321-7100

1000 Northern Blvd
Ste 375
Great Neck, NY 11021
Phone (516) 773-3942

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1780959866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "STE 375",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-773-3942",
            "fax_number": "516-734-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD",
            "address_2": "STE 375",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312",
            "telephone_number": "516-773-3942",
            "fax_number": "516-734-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIM",
        "first_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279137",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "279137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.