Individual provider Active NPI

Imran Wahedna, M.D.

  • Neurology Physician
  • East Meadow, NY
National Provider Identifier
1073575502
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
000704 Issued in NY
Practice address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone
(516) 572-3107
Fax
(516) 572-5715
NPI assigned
Apr 3, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 000704 NY Primary

Addresses

Primary practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Mailing address

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-3107

Other identifiers 1

IdentifierTypeStateIssuer
01973073MedicaidNY

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
I20090611000259 NY Practitioner - NeurologyPractitioner - NephrologyPractitioner - Internal Medicine 3072663160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

3480 Veterans Memorial Hwy
Bohemia, NY 11716-1068
Phone (631) 289-0338

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000704NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Neurology CurrentSince Jul 29, 2024 Accepting new patients
True North Medical Group PC CurrentSince Jul 29, 2024 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

3480 Veterans Memorial Hwy
Bohemia, NY 11716
Phone (631) 289-0338

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568

635 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (516) 331-7700

36 Lincoln Ave
Fl 2
Rockville Ctr, NY 11570
Phone (516) 766-2176

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080

Interoperability endpoints

  • Direct secure messaging: imranwahedna@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1073575502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-3107",
            "fax_number": "516-572-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-3107",
            "fax_number": "516-572-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHEDNA",
        "first_name": "IMRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "000704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.