Active NPI
Dr Nawaiz Ahmad Medical PC
- Plastic Surgery Physician
- Brooklyn, NY
National Provider Identifier
1003214271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 223289
- Legal business name
- DR NAWAIZ AHMAD MEDICAL PC
- Practice address
- 186 Bay Ridge Ave
Brooklyn, NY 11220-5109 - Phone
- (718) 715-1535
- NPI assigned
- Dec 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nawaiz Ahmad, M.D.
- Title
- Plastic Surgeon
- Phone
- (718) 715-1535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 223289 | NY | Primary |
Addresses
Primary practice location
186 Bay Ridge Ave
Brooklyn, NY 11220-5109
Mailing address
186 Bay Ridge Ave
Brooklyn, NY 11220-5109
Phone (718) 715-1535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150820009660 | NY | Part B Supplier - Clinic/Group Practice | 0840505822 |
Receives reassigned benefits from 1 practitioner Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
186 Bay Ridge Ave
Brooklyn, NY 11220
Phone (718) 715-1535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418947200000",
"number": "1003214271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 BAY RIDGE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205109",
"telephone_number": "718-715-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 BAY RIDGE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205109",
"telephone_number": "718-715-1535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR NAWAIZ AHMAD MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-19",
"last_updated": "2014-12-19",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "NAWAIZ",
"authorized_official_title_or_position": "PLASTIC SURGEON",
"authorized_official_telephone_number": "718-715-1535",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NY",
"license": "223289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.