Individual provider Active NPI

Asma Aslam Ejaz, M.D.

  • Psychiatry Physician
  • Hicksville, NY
National Provider Identifier
1841259892
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
160788 Issued in NY
Practice address
950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone
(516) 822-6111
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 160788 NY Primary

Addresses

Primary practice location

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Mailing address

97 Sterling CT
Muttontown, NY 11791-2419
Phone (516) 884-2500

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
I20091001000314 NY Practitioner - Psychiatry 2567508781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone (516) 822-6111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160788NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nassau Guidance & Counseling Services, Inc. Psychiatry CurrentSince Jun 20, 2011 Accepting new patients

Locations

950 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 822-4060

Organizations & group practices 1

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1841259892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 STERLING CT",
            "city": "MUTTONTOWN",
            "state": "NY",
            "postal_code": "117912419",
            "telephone_number": "516-884-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "516-822-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJAZ",
        "first_name": "ASMA",
        "middle_name": "ASLAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "160788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.