Active NPI
Muhammad Raza
- Periodontics
- Jackson Heights, NY
National Provider Identifier
1043690290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 058637
- Practice address
- 7048 Broadway
Jackson Heights, NY 11372-6134 - Phone
- (786) 519-0012
- NPI assigned
- Jun 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Periodontics | 1223P0300X | 058637 | NY | Primary |
Addresses
Primary practice location
7048 Broadway
Jackson Heights, NY 11372-6134
Mailing address
7048 Broadway
Jackson Heights, NY 11372-6134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058637 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601683200000",
"number": "1043690290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7048 BROADWAY",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7048 BROADWAY",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726134",
"telephone_number": "786-519-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA",
"first_name": "MUHAMMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2020-10-03",
"certification_date": "2020-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "058637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
- Rampim Medical Care of the Bronx PC
- Don Mardy Galido Ranola, PT
- Mahbubur Rashid, PA-C
- Umme Mabia Rashid, DDS
- Shynise Rawls
- Realvalue Patients Pharmacy Inc
- Regal Heights Rehab & Health Care Center Adult Day Health Care
- Regal Heights Rehab & Health CC
- Regent Medical PC Inc
- Rekha Chandurpal Gehani Dentist P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.