Jaya Bahl, ARNP
Individual provider Active NPI Family Nurse Practitioner · Albertson, NY
NPI 1972882439 · NPPES record last updated Dec 28, 2021
Key facts
- NPI
- 1972882439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F342286-1 (NY)
- Practice address
- 151 Wentworth Ave
Albertson, NY 11507-1728 - Phone
- (516) 877-7794
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180322001274 | NY | Practitioner - Nurse Practitioner | 4981966330 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F342286-1 | NY | MD | Family Nurse Practitioner |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare for All Women OBGYN PLLC | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Divinity Medical Services PLLC | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Advantagecare Physicians PC | Current |
Accepting new patients | |
| True Health Medical PC | Current |
Accepting new patients | |
| Advantagecare Physicians PC | Current |
Accepting new patients | |
| Sarita Khatri MD OB-GYN PC | Past | Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
1991 Marcus Ave
Fl 2
New Hyde Park, NY 11042
Phone (516) 354-1600
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
446 Willis Ave
Unit 117
Williston Park, NY 11596
2 Hillside Ave
Ste G
Williston Pk, NY 11596
Phone (516) 747-2230
3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jaya.bahl.1@24989.direct.athenahealth.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F342286-1 | NY | Yes |
Addresses
Primary practice location
151 Wentworth Ave
Albertson, NY 11507-1728
Mailing address
845 3Rd Ave
FL 6
New York, NY 10022-6630
Phone (866) 949-0108
Other practice location 1
845 3rd Ave Fl 6
New York, NY 10022-6630
Phone (866) 949-0108
Other providers in Albertson, NY
- Anastasia Antonopoulos
- Anjali Apte
- Arnacare Inc
- Audiology Services Company USA, LLC
- Ajay Bahl
- Dawn Marie Baratta
- Emily Pereira Barbosa
- Barbara Barone
- Farbod E Barzideh
- Jessica Barzideh
All providers in Albertson, NY · Family Nurse Practitioner 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 Dec 28, 2021. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.