Active NPI
Pervaiz Iqbal Qureshi, MD
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1033214317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 196325
- Practice address
- 1921 Fulton St
Brooklyn, NY 11233-3103 - Phone
- (718) 604-0717
- Fax
- (718) 604-0718
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 196325 | NY | Primary |
Addresses
Primary practice location
1921 Fulton St
Brooklyn, NY 11233-3103
Mailing address
221 Center Street
Williston Park, NY 11596
Phone (347) 242-6261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01525828 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514000207 | NY | Practitioner - Internal Medicine | 7012907850 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical & Diagnostic Care PC | Current | Accepting new patients | |
| Prime Medcare | Internal Medicine | Current | Accepting new patients |
| Saira Medical Care PLLC | Internal Medicine | Past | Accepting new patients |
| New York Radiology PC | Past | Accepting new patients | |
| Arthritis & Osteoporosis Care PLLC | Past | Accepting new patients |
Locations
295 Ralph Ave
Brooklyn, NY 11233
Phone (718) 484-4500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICCDBA
- https://fhir4.healow.com/fhir/r4/ICCDBA/Endpoint/ICCDBA
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Hollis, NY
- NPI 1194255562
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1124333885
-
- Rheumatology Physician
- Queens Village, NY
- NPI 1992131718
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1417367921
-
- Internal Medicine Physician
- Queens Village, NY
- NPI 1780015164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1033214317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 CENTER STREET",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "11596",
"telephone_number": "347-242-6261",
"fax_number": "212-318-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112333103",
"telephone_number": "718-604-0717",
"fax_number": "718-604-0718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "PERVAIZ",
"middle_name": "IQBAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "196325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01525828",
"state": "NY"
}
],
"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 Feb 22, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.