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

Geetha Ajay

Individual provider School Registered Nurse · NPI 1235404443

Geetha Ajay is a Nurse Practitioner in South Ozone Park, New York. Qualified in 2015, 11 years ago. Practices with New York Spine and Sport Rehabilitation Medicine PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2012

Practice location Address checks out

12915 150th Ave
South Ozone Park, NY 11420-4211
Phone: (718) 529-8720
Show map & directions

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

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 558176 (NY)

Record details

NPI number1235404443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2012
Last updated in NPPESMarch 21, 2012
Mailing address12915 150th Ave, South Ozone Park, NY 11420-4211

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York Spine And Sport Rehabilitation Medicine Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Ozone Park