NEW YORK PREVENTIVE HEALTH CENTER
NPI 1609342898
Clinic/Center in Forest Hills, NY

Active since October 16, 2018CLIA 33D2159202 · Waiver
6860 AUSTIN ST, FOREST HILLS, NY 11375(718) 997-7100(718) 997-7499 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2022, Dec 19, 2018, Oct 16, 2018 (3 updates tracked since 2018).

About New York Preventive Health Center NPPES

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

NEW YORK PREVENTIVE HEALTH CENTER (NPI 1609342898) is a healthcare organization registered as a clinic/center in Forest Hills, New York and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ahmad Masoud, President, as its authorized official.

NPPES Registry Identity

NPI1609342898
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAJAY 28 LLC
Location Address6860 AUSTIN STForest Hills, NY 11375-4245
Mailing Address6860 Austin StForest Hills, NY 11375-4245
Fax(718) 997-7499
Organization SubpartNo
Authorized OfficialAhmad MasoudPresident · (718) 640-6152
Enumeration DateOctober 16, 2018
Last NPPES UpdateMay 16, 20223 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1609342898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6860 AUSTIN ST, Forest Hills, NY 11375

Other Names 1

Doing Business AsNew York Preventive Health Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New York Preventive Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

37

Medicare enrollment records show 37 clinicians reassign Medicare billing to New York Preventive Health Center, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner10
Cardiovascular Disease (Cardiology)5
Internal Medicine3
Family Practice2
Gastroenterology2
Physical Medicine and Rehabilitation2
Podiatry2
Psychiatry2
9 other specialties9

Nearest to this location (20)

See all 37
Nurse Practitioner
NPI 1275993453
10420 QUEENS BLVD STE 1DE
Forest Hills, NY 11375
(718) 806-1002
✔ PECOS0.1 mi
Psychiatry
NPI 1184712945
107-21 QUEENS BLVD STE 6
Forest Hills, NY 11375
(718) 661-1789
✔ PECOS✔ Accepts Medicare0.3 mi
Infectious Disease
NPI 1255525234
10124 QUEENS BLVD STE A
Forest Hills, NY 11375
(646) 568-0717
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1457453862
107-40 QUEENS BLVD SUITE #206
Forest Hills, NY 11375
(718) 275-0103
✔ PECOS✔ Accepts Medicare0.3 mi
Physical Medicine and Rehabilitation
NPI 1043324759
11120 QUEENS BLVD
Forest Hills, NY 11375
(718) 544-7700
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1619082625
9725 63RD DR
Rego Park, NY 11374
(718) 275-2900
✔ PECOS0.8 mi
Family Practice
NPI 1689660854
9732 63RD RD
Rego Park, NY 11374
(718) 275-2698
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1992568695
14410 72ND DR
Flushing, NY 11367
(347) 600-1559
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1467183749
15333 78TH RD
Flushing, NY 11367
(646) 508-3644
✔ PECOS2.1 mi
Urology
NPI 1437196888
3711 88TH ST
Jackson Heights, NY 11372
(718) 478-9292
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1366097719
6655 FRESH POND RD
Ridgewood, NY 11385
(718) 497-1919
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1073873717
3304 93RD ST #1W
Jackson Heights, NY 11372
(718) 335-4747
✔ PECOS✔ Accepts Medicare2.7 mi
Cardiovascular Disease (Cardiology)
NPI 1336198886
2414 33RD ST APT A
Astoria, NY 11102
(718) 932-7315
✔ PECOS4.8 mi
Cardiovascular Disease (Cardiology)
NPI 1679704605
185 MARCY AVE
Brooklyn, NY 11211
(718) 360-0760
✔ PECOS5.8 mi
Pain Management
NPI 1548200967
21633 27TH AVE
Bayside, NY 11360
(718) 224-9094
✔ PECOS5.8 mi
Podiatry
NPI 1356437388
2604 3RD AVE
Bronx, NY 10454
(718) 292-0100
✔ PECOS✔ Accepts Medicare7.3 mi
Neurology
NPI 1396752143
3131 KINGS HWY
Brooklyn, NY 11234
(718) 677-0009
✔ PECOS8.7 mi
Nurse Practitioner
NPI 1346064607
2 OHIO DR STE 101
New Hyde Park, NY 11042
(516) 622-6088
✔ PECOS✔ Accepts Medicare9.2 mi
Hematology/Oncology
NPI 1629061155
1915 OCEAN AVE FL 1
Brooklyn, NY 11230
(718) 377-7629
✔ PECOS✔ Accepts Medicare9.2 mi
Family Practice
NPI 1689986515
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 299-7295
✔ PECOS✔ Accepts Medicare9.4 mi
See all 37 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2159202

Ajay 28 LLC Dba New York Preventive Health Center · Forest Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D2159202
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 18, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Stella Ilyayeva
Laboratory Phone(718) 997-7100
Laboratory LocationAjay 28 LLC Dba New York Preventive Health Center68-60 Austin St - Store Number 10, Forest Hills, NY 11375
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ajay 28 LLC's NPI number?

The NPI number for Ajay 28 LLC is 1609342898. It was assigned to this organization in the NPPES registry on October 16, 2018. The provider is doing business as New York Preventive Health Center.

Where is Ajay 28 LLC located?

Ajay 28 LLC is located at 6860 Austin St, Forest Hills, NY 11375. The listed phone number is (718) 997-7100.

What is Ajay 28 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Ajay 28 LLC enrolled in Medicare?

Yes. Ajay 28 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ajay 28 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 17 Medicare specialties reassign their Medicare billing to Ajay 28 LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Cardiovascular Disease (Cardiology) (5) and Internal Medicine (3). Of these, 25 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ajay 28 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2159202) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ajay 28 LLC was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.