NPIMap

Organization Active NPI

Belmont Comprehensive Medical Care PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1043748585
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BELMONT COMPREHENSIVE MEDICAL CARE PLLC
Practice address
76 Belmont Ave
Brooklyn, NY 11212-6719
Phone
(718) 395-6444
Fax
(718) 676-9557
NPI assigned
May 29, 2017
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Ijaz Ahmad, MDNPI 1902895238
Title
Owner/Ceo
Phone
(718) 789-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

76 Belmont Ave
Brooklyn, NY 11212-6719

Mailing address

PO Box 260108
Bellerose, NY 11426-0108
Phone (718) 395-6444

Other practice location 1

47 Plaza St W Ste 1B
Brooklyn, NY 11217-3905
Phone (718) 789-4332

Other practice location 2

979 Fulton St
Brooklyn, NY 11238-2346
Phone (718) 857-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231122000839 NY Part B Supplier - Clinic/Group Practice 5698123115 Receives reassigned benefits from 13 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1043748585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260108",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114260108",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BELMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126719",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Plaza St W Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112173905",
            "country_code": "US",
            "telephone_number": "718-789-4332",
            "fax_number": "718-857-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "979 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112382346",
            "country_code": "US",
            "telephone_number": "718-857-1200",
            "fax_number": "718-857-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BELMONT COMPREHENSIVE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-29",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "718-789-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2024; 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.