Organization Active NPI

Qazi K. Haider, MD, PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1083938344
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196383 Issued in NY
Legal business name
QAZI K. HAIDER, MD, PC
Practice address
140-14 Cherry Ave
Flushing, NY 11355-3025
Phone
(718) 886-0355
Fax
(718) 886-0311
NPI assigned
Mar 16, 2010
Last updated
Jul 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Dr. Qazi K. Haider, MDNPI 1184793846
Title
Owner
Phone
(718) 886-0355

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 Physician 207R00000X 196383 NY Primary

Addresses

Primary practice location

140-14 Cherry Ave
Flushing, NY 11355-3025

Mailing address

14014 Cherry Ave
Flushing, NY 11355-3025
Phone (718) 886-0355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100602000671 NY Part B Supplier - Clinic/Group Practice 3779612635 Receives reassigned benefits from 2 practitioners
Practice locations: Corona, NY; Sunnyside, NY; Jamaica, NY; Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2024839Qazi Haider140-14 Cherry Ave, Flushing, NY 11355Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

13962 35th Ave
Flushing, NY 11354
Phone (718) 762-8635

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1083938344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 CHERRY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553025",
            "telephone_number": "718-886-0355",
            "fax_number": "718-886-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140-14 CHERRY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553025",
            "telephone_number": "718-886-0355",
            "fax_number": "718-886-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAZI K. HAIDER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "QAZI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-886-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.