Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ali Heidar Altaf

Individual provider Physician Assistant · NPI 1164229472

Ali Heidar Altaf is a Physician Assistant in West Babylon, New York. Qualified in 2025, 1 year ago. Practices with Divinity Medical Services PLLC, a 93-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

701 Albin Ave
West Babylon, NY 11704-7401
Phone: (917) 688-5749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1164229472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address701 Albin Ave, West Babylon, NY 11704-7401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in West Babylon