Individual provider Active NPI

Khin Aye, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1902269616
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
301220-01 Issued in NY
Practice address
115 Saint Nicholas Ave
Brooklyn, NY 11237-3097
Phone
(718) 418-8368
Fax
(718) 418-8716
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 301220-01 NY Primary

Addresses

Primary practice location

115 Saint Nicholas Ave
Brooklyn, NY 11237-3097

Mailing address

115 Saint Nicholas Ave
Brooklyn, NY 11237-3097
Phone (718) 418-8368

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
I20191217001116 NY Practitioner - Internal MedicinePractitioner - Hospitalist 2860739315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Nicholas Medical PCGroup PAC ID 9931297132, 4 clinicians

Practice addresses (Care Compare)

6861 Fresh Pond Rd
Ridgewood, NY 11385-5263
Phone (718) 576-3354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301220-01NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Nicholas Medical PC Specialist CurrentSince Sep 1, 2025 Accepting new patients
Union Community Health Center, Inc. Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Myrtle Ave Medical PLLC PastSince Nov 18, 2025 Accepting new patients

Locations

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800

6513 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-3399

6861 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 456-8346

Networks

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

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1902269616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373097",
            "telephone_number": "718-418-8368",
            "fax_number": "718-418-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373097",
            "telephone_number": "718-418-8368",
            "fax_number": "718-418-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYE",
        "first_name": "KHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "301220-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.