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DR. DIVYA AJAY M.D.
NPI 1396001053
Urology in New York, NY

Active since April 07, 2012PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
353 E 68TH ST, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2023, May 30, 2019 (2 updates tracked since 2019).

About Dr. Divya Ajay M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIVYA AJAY M.D. (NPI 1396001053) is an individual urology provider in New York, New York, licensed in New York (296910) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396001053
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. DIVYA AJAYCredential: M.D.
Location Address353 E 68TH STNew York, NY 10065-5606
Mailing Address353 E 68th StNew York, NY 10065-5606 · (212) 639-2000
Phone(212) 639-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 7, 2012
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1396001053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 296910
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
353 E 68TH ST, New York, NY 10065
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1601 Elmwood AveRochester, NY 14642-4699 · Phone (585) 275-2838 · Fax (585) 273-1068
Location 22301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Divya Ajay M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345574760
PECOS Enrollment IDI20190618003584
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
410 services225 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
121 services110 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
58 services36 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
56 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers15 claims2,230 services$1.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRY ADLER MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
353 E 68TH ST
NEW YORK, NY 10065
New York County (973) 768-2123
BARBARA JANE FINK PHARMD
Pharmacist
353 E 68TH ST
NEW YORK, NY 10065
New York County (646) 422-4642
BRIAN THOMAS DOLAN AGPCNP
Nurse Practitioner (Adult Health)
353 E 68TH ST
NEW YORK, NY 10065
New York County (347) 798-8620
DR. FELIX CHEUNG M.D.
Urology
353 E 68TH ST
NEW YORK, NY 10065
New York County (212) 639-2000
DR. DAVID HENRY AGGEN M.D., PH.D.
Internal Medicine (Medical Oncology)
353 E 68TH ST
NEW YORK, NY 10065
New York County (646) 422-4679
MEMORIAL SLOAN-KETTERING CANCER CENTER
Special Hospital
353 E 68TH ST
NEW YORK, NY 10065
New York County (646) 422-4404
RICHARD BAMBURY
Internal Medicine (Hematology & Oncology)
353 E 68TH ST, SIDNEY KIMMEL CENTER FOR PROSTATE AND UROLOGIC CANCERS
NEW YORK, NY 10065
New York County (212) 639-2000
MS. MAE HYACINTH GERENIA NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
353 E 68TH ST
NEW YORK, NY 10065
New York County (646) 422-4387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divya Ajay's NPI number?

The NPI number for Divya Ajay is 1396001053. It was assigned to this individual provider in the NPPES registry on April 7, 2012.

Where is Divya Ajay located?

Divya Ajay practices at 353 E 68th St, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Divya Ajay's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Divya Ajay enrolled in Medicare?

Yes. Divya Ajay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Divya Ajay was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.