Individual provider Active NPI

Ayesha Bakhtiar, MD

  • Family Medicine Physician
  • New City, NY
National Provider Identifier
1912535592
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332567 Issued in NY
Practice address
226 N Main St
New City, NY 10956-5302
Phone
(845) 204-8480
Fax
(845) 502-9520
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 332567 NY Primary

Addresses

Primary practice location

226 N Main St
New City, NY 10956-5302

Mailing address

226 N Main St
New City, NY 10956-5302
Phone (845) 204-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231114002426 NJ Practitioner - Family Practice 4183071038 Reassigns benefits to 1 organization
I20241209002837 NY Practitioner - Family Practice 4183071038 Reassigns benefits to 1 organization
Practice locations: New City, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson Family Medical PCGroup PAC ID 4082141262, 2 clinicians

Practice addresses (Care Compare)

226 N Main St
New City, NY 10956-5302
Phone (845) 204-8480

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patients First Maryland Physicians Group P C Family Medicine CurrentSince Oct 18, 2023 Accepting new patients
Patient First Maryland Physician'S Group PC Family Medicine CurrentSince Oct 18, 2023 Accepting new patients
Hudson Family Medical PC Family Medicine CurrentSince Dec 15, 2024 Accepting new patients

Locations

641 US Highway 130
Hamilton, NJ 08691
Phone (609) 568-9383

630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220

226 N Main St
New City, NY 10956
Phone (845) 204-8480

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Networks

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

Interoperability endpoints

  • Direct secure messaging: ayesha.bakhtiar.1@14940.direct.athenahealth.com

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1912535592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-204-8480",
            "fax_number": "845-502-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-204-8480",
            "fax_number": "845-502-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTIAR",
        "first_name": "AYESHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "332567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.