Individual provider Active NPI

Rashid Ali

  • Physician Assistant
  • Amityville, NY
National Provider Identifier
1790222123
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020512 Issued in NY
Practice address
400 Sunrise Hwy
Amityville, NY 11701-2508
Phone
(631) 264-4000
NPI assigned
Jan 24, 2017
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020512 NY Primary
Physician Assistant 363A00000X 0010-14008 NC

Addresses

Primary practice location

400 Sunrise Hwy
Amityville, NY 11701-2508

Mailing address

400 Sunrise Hwy
Amityville, NY 11701-2508
Phone (631) 264-4000

Other practice location 1

806 Hay St
Fayetteville, NC 28305-5312
Phone (910) 860-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170224001097 NY Practitioner - Physician Assistant 2860776598 Reassigns benefits to 3 organizations
I20240524000246 NC Practitioner - Physician Assistant 2860776598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

131 W Edinborough Ave
Raeford, NC 28376-2861
Phone (910) 860-7008

806 Hay St
Fayetteville, NC 28305-5312
Phone (910) 860-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-14008NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Haymount Institute for Psychological Services, PLLC CurrentSince Mar 14, 2024 Accepting new patients
Haymount Institute for Psychological Services, PLLC Physician Assistant CurrentSince Mar 14, 2024 Accepting new patients
Jamaica Hospital CurrentSince Dec 1, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Nov 19, 2020 Accepting new patients
Jamaica Hospital CurrentSince Dec 1, 2018 Accepting new patients
The Long Island Home CurrentSince Feb 1, 2017 Accepting new patients

Locations

806 Hay St
Fayetteville, NC 28305
Phone 9108607008117

131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1790222123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-264-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-264-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Hay St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055312",
            "country_code": "US",
            "telephone_number": "910-860-7008",
            "fax_number": "910-824-7593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "RASHID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020512",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.