Provider Demographics
NPI:1073568184
Name:ASHKAR, JOHN ANTONIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTONIOS
Last Name:ASHKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:355 OVINGTON AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1458
Mailing Address - Country:US
Mailing Address - Phone:718-621-7100
Mailing Address - Fax:718-333-5523
Practice Address - Street 1:355 OVINGTON AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1458
Practice Address - Country:US
Practice Address - Phone:718-621-7100
Practice Address - Fax:718-333-5523
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY225157207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02661030Medicaid
NYI25486Medicare UPIN
NY277AP1Medicare ID - Type Unspecified