M Q Islam Physician, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

248033 Issued in NY

Legal business name

M Q ISLAM PHYSICIAN, PLLC

Practice address

40-27 74TH Street
Elmhurst, NY 11373-0000

Phone

(718) 424-1300

Fax

(718) 424-1311

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Mohammed Q. Islam, M.D.NPI 1245205012

Title

President

Phone

(516) 589-4981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

M Q Islam Physician PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• M.Q. Islam Physician PLLC

  • Specialist
  • Manhasset Hills, NY
  • NPI 1053601005
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Qamrul Islam, MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Elmhurst, NY
  • NPI 1245205012
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1033543707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OLD COURTHOUSE RD",
            "address_2": "NEW HYDE PARK",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401229",
            "telephone_number": "516-589-4981",
            "fax_number": "718-424-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-27 74TH STREET",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113730000",
            "telephone_number": "718-424-1300",
            "fax_number": "718-424-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M Q ISLAM PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-589-4981",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "248033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Hnin Yee Lwin, MD
• Ni Ni Lwin, MD
• Ly Family Medicine Elmhurst
• Patrick Lyo, DPT
• Theodore Lyu, M.D.
• Xiao Quan Ma
• Nevine Franz Africa Macalintal, MD
• Theodore Macario
• Beatrice Mace de Lepinay, MD
• Karen Maceda Herrera

• Neurology Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.