NPIMap

Individual provider Active NPI

Maryam Rafael Aghalar, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Rego Park, NY
National Provider Identifier
1831354513
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
263923 Issued in NY
Practice address
97-12 63Rd Drive
Suite 1-B
Rego Park, NY 11374-2445
Phone
(718) 897-7430
Fax
(718) 896-0062
NPI assigned
Jul 22, 2008
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 263923 NY Primary

Addresses

Primary practice location

97-12 63Rd Drive
Suite 1-B
Rego Park, NY 11374-2445

Mailing address

97-12 63Rd Drive
Suite 1-B
Rego Park, NY 11374-2445
Phone (718) 897-7430

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
I20130903000011 NY Practitioner - Physical Medicine and Rehabilitation 9830332311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9712 63Rd Dr
Suite 1B
Rego Park, NY 11374-2245
Phone (718) 897-7430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263923NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Sep 16, 2013 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 16, 2013 Accepting new patients
Maryam Aghalar Physical Medicine and Rehabilitation PC Physical Medicine & Rehabilitation CurrentSince Mar 11, 2017 Accepting new patients
Daniel Aryeh, PT LLC PastSince Nov 1, 2017 Accepting new patients
Care Medical Services PC Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

200 Middle Neck Rd
Ste H
Great Neck, NY 11021
Phone (516) 570-2362

9712 63rd Dr
Ste 1B
Rego Park, NY 11374
Phone (718) 897-1430

875 Jerusalem Ave
Uniondale, NY 11553
Phone (516) 572-1400

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1831354513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97-12 63RD DRIVE",
            "address_2": "SUITE 1-B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742445",
            "telephone_number": "718-897-7430",
            "fax_number": "718-896-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97-12 63RD DRIVE",
            "address_2": "SUITE 1-B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742445",
            "telephone_number": "718-897-7430",
            "fax_number": "718-896-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHALAR",
        "first_name": "MARYAM",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "263923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.