Taimur Ahmad, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

328769 Issued in NY

Practice address

1025 Islip Ave
Central Islip, NY 11722-4819

Phone

(631) 234-3800

NPI assigned

Apr 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles (5 of 9)

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: taahmad@montefioredirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HGJGAA/Endpoint/HGJGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment NPD
• Taimur Ahmad D.O.

  • Family Medicine Physician
  • Corona, NY
  • NPI 1356158489
  NPD Authorized official
• Taimur Ahmad D.O.

  • Family Medicine Physician
  • Central Islip, NY
  • NPI 1427932094
  NPD Authorized official
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Corona Family Health Center

  • Family Medicine Physician
  • Corona, NY
  • NPI 1255215828
  NPD (past)

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1013598523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KINSELLA ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466518",
            "telephone_number": "631-234-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ISLIP AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224819",
            "telephone_number": "631-234-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3758 108th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113682023",
            "country_code": "US",
            "telephone_number": "718-592-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "TAIMUR",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-02-07",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "328769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1356158489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Xavier Acosta
• Debbie Jacqueline Cecill Adams, LPN
• Bolanle Adeola Adekoya
• Adelante of Suffolk County, Inc.
• Alice Elizabeth Agostini, R.N., L.M.S.W.
• Flora Nneamaka Ajibode, RN
• Marquex Akinrele, LPN
• Motunrayo Yewande Alalade
• Lauren Monique Alburg
• Taisha Alcindor, RN

• Family Medicine Physician in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.