Syedqambar R Naqvi Physician P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SYEDQAMBAR R NAQVI PHYSICIAN P.C.

Practice address

107 West Main Street
East Islip, NY 11730

Phone

(631) 688-1015

Fax

(631) 688-1700

NPI assigned

Jul 17, 2019

Organization subpart

Yes

Parent organization

SYEDQAMBAR R NAQVI PHYSICIAN P.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Syedqambar R Naqvi

Title

Credentialign Specialist

Phone

(631) 666-1615

Specialties & licenses 1

Addresses

Part of

Syedqambar R Naqvi Physician PC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1003469222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WEST MAIN STREET",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "631-688-1015",
            "fax_number": "631-688-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEST MAIN STREET",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "631-688-1015",
            "fax_number": "631-688-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYEDQAMBAR R NAQVI PHYSICIAN P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYEDQAMBAR R NAQVI PHYSICIAN P.C.",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "SYEDQAMBAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALIGN SPECIALIST",
        "authorized_official_telephone_number": "631-666-1615"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.