Individual provider Active NPI

Israel Angel Aviles Sanchez, M.D.

  • Specialist
  • Jackson Heights, NY
National Provider Identifier
1801800263
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
149471 Issued in NY
Practice address
9001A Roosevelt Ave
Jackson Heights, NY 11372-7938
Phone
(718) 396-2005
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 149471 NY Primary

Addresses

Primary practice location

9001A Roosevelt Ave
Jackson Heights, NY 11372-7938

Mailing address

1204 Harmon Cove Tower
Secaucus, NJ 07094-1714
Phone (718) 396-2005

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
I20050504000562 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 5395785810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Israel Aviles MD PCGroup PAC ID 2567640642, 2 clinicians

Practice addresses (Care Compare)

9001 A Roosevelt Ave
Jackson Heights, NY 11372-7938

9001 A Roosevelt Ave
Jackson Heights, NY 11372-7963
Phone (718) 396-2005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149471NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Booth Medical Associates PC Past Accepting new patients
Newyork-Presbyterian/Queens Past Accepting new patients

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1801800263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 HARMON COVE TOWER",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070941714",
            "telephone_number": "718-396-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001A ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-396-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES SANCHEZ",
        "first_name": "ISRAEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "149471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.