Active NPI
Tanveer Akhtar Bajwa, M. D.
- Family Medicine Physician
- Bay Shore, NY
National Provider Identifier
1073701447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 244909-1
- Practice address
- 160 Howells Rd
Bay Shore, NY 11706-5320 - Phone
- (631) 968-4200
- Fax
- (631) 968-4004
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 244909-1 | NY | Primary |
Addresses
Primary practice location
160 Howells Rd
Bay Shore, NY 11706-5320
Mailing address
160 Howells Rd
Bay Shore, NY 11706-5320
Phone (631) 968-4200
Other names 1
- Tanveer Bajwa
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244909-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saeed I Bajwa, M.D, P.C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bay Shore, NY
- NPI 1528288354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1073701447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 HOWELLS RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065320",
"telephone_number": "631-968-4200",
"fax_number": "631-968-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 HOWELLS RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065320",
"telephone_number": "631-968-4200",
"fax_number": "631-968-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJWA",
"first_name": "TANVEER",
"middle_name": "AKHTAR",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "244909-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANVEER",
"last_name": "BAJWA",
"credential": "M. D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.