Individual provider Active NPI

Sajjad Mohammad, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1033290242
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201036 Issued in NY
Practice address
40 Montgomery St
New York, NY 10002-4808
Phone
(212) 233-5033
Fax
(212) 233-0855
NPI assigned
Oct 17, 2006
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY201036 NY
Internal Medicine Physician 207R00000X 201036 NY Primary

Addresses

Primary practice location

40 Montgomery St
New York, NY 10002-4808

Mailing address

257 Hemlock Ter
Teaneck, NJ 07666-6413
Phone (646) 523-0472

Other identifiers 2

IdentifierTypeStateIssuer
02080844MedicaidNY
00695941MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000199 NY Practitioner - Internal Medicine 3274632997 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Heritage Health and Housing, Inc.Group PAC ID 2163331620, 20 clinicians
Betances Health CenterGroup PAC ID 1658391578, 18 clinicians
Medalliance Medical Health Services IncGroup PAC ID 4789633678, 19 clinicians

Practice addresses (Care Compare)

1060 Broadway
Suite 100
Menands, NY 12204-2507
Phone (248) 369-3315

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1727 Amsterdam Ave
New York, NY 10031-4611

1727 Amsterdam Ave FL
Suite 4
New York, NY 10031-4611

280 Henry St
New York, NY 10002-5808
Phone (212) 227-8401

625 E Fordham Rd
Bronx, NY 10458-5049
Phone (718) 933-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY201036NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince Jan 15, 2010 Accepting new patients
Montefiore Medical Center CurrentSince Jan 15, 2010 Accepting new patients
Infinite Medical PC CurrentSince May 1, 2021 Accepting new patients
Sciometrix Inc CurrentSince Aug 1, 2024 Accepting new patients
State of New York Specialist Current Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Jun 1, 2008 Accepting new patients
Jal 28 LLC Past Accepting new patients
Ygc at Woodycrest LLC Past Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Internal Medicine Past Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients
Betances Health Center Past Accepting new patients
Heritage Health and Housing, Inc Past Accepting new patients
Mermaid Management Inc PastSince Jun 15, 2017 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

111 E 210th St
Bronx, NY 10467

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCIFAA/Endpoint/HCIFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDCIDD/Endpoint/IDCIDD
  • Direct secure messaging: sajjad.mohammad@bhcnyc.eclinicaldirectplus.com
  • Direct secure messaging: sajjad.mohammad@merrylandhealth.ehi.direct-ci.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1033290242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 HEMLOCK TER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666413",
            "telephone_number": "646-523-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MONTGOMERY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024808",
            "telephone_number": "212-233-5033",
            "fax_number": "212-233-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "SAJJAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "NY201036",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02080844",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.