Javaid Afghani, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Middletown, NY
NPI 1851972137 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1851972137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 707 E Main St
Middletown, NY 10940-2650 - Phone
- (845) 333-7373
- Fax
- (845) 333-7342
- NPI assigned
- Apr 18, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physician Services of New York, P.C.
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966
Hospital & facility affiliations
- Wynn Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607001170 | NY | Practitioner - Emergency Medicine | 7810439676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328758 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current |
Accepting new patients |
Locations
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 328758 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
707 E Main St
Middletown, NY 10940-2650
Mailing address
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7373
Other providers in Middletown, NY
- Goustina Adly
- Advantage P M & R LLC
- Ilphard Advincula
- Aesthetic Concerns Prosthetics
- Charles Afful
- Kian-Taj Claire Afrassiabian
- Shawnette Yvonne Afriyie
- Aditya Agarwal
- Ages & Stages , LLP
- Sandra Angela Agnello
All providers in Middletown, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.