Individual provider Active NPI

Allan H Bahoric, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1861568701
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
156780 Issued in NY
Practice address
462 1RST Ave.
Bellevue Hospital
New York, NY 10016
Phone
(212) 562-1686
Fax
(212) 562-1665
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 156780 NY
Internal Medicine Physician 207R00000X 156780 NY Primary

Addresses

Primary practice location

462 1RST Ave.
Bellevue Hospital
New York, NY 10016

Mailing address

250 E 87TH St
19A
New York, NY 10128-3115
Phone (212) 427-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156780NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 15, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients

Locations

1090 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2211

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1861568701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 87TH ST",
            "address_2": "19A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283115",
            "telephone_number": "212-427-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1RST AVE.",
            "address_2": "BELLEVUE HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-562-1686",
            "fax_number": "212-562-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHORIC",
        "first_name": "ALLAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NY",
            "license": "156780",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "156780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.