MD Remaul Islam

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704384428 Issued in MI

Practice address

16140 Royal Park Dr S
Fraser, MI 48026-5264

Phone

(512) 850-0696

NPI assigned

Sep 10, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1003726191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16140 ROYAL PARK DR S",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480265264",
            "telephone_number": "512-850-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16140 ROYAL PARK DR S",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480265264",
            "telephone_number": "512-850-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MD REMAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704384428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Anthony Huetter, DDS
• Kimberly S Hurst, PA-C
• Veronica Hyman, MA
• Abigail Ignagni, PA-C
• Behram Irani, MD
• Ryan M Jaber, M.D.
• Shelby Jackson
• Patricia Ann Janas, BCBA
• John a. Breza DDS PC
• Pamela Anne Jostock, M.D.

• Family Nurse Practitioner in Fraser, MI
• Providers in Fraser, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.