Active NPI
Mdtarik Bin Naser, M.D.
- Hospitalist Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 275494
- Practice address
- 374 Stockholm St
Brooklyn, NY 11237-4006 - Phone
- (718) 755-9954
- NPI assigned
- Apr 7, 2010
- Last updated
- Mar 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 275494 | NY | Primary |
| Internal Medicine Physician | 207R00000X | ME119862 | FL | |
| Internal Medicine Physician | 207R00000X | 0101256353 | VA | |
| Internal Medicine Physician | 207R00000X | 275494 | NY |
Addresses
Primary practice location
374 Stockholm St
Brooklyn, NY 11237-4006
Mailing address
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 755-9954
Other names 1
- Mdtarik Naser
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101256353 | VA | MD | Internal Medicine Physician |
| 275494 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Far Rockaway, NY
- NPI 1578781787
-
dba Mount Sinai Elmhurst Faculty practice Group
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1184977324
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1083939649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 STOCKHOLM ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374006",
"telephone_number": "718-755-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 STOCKHOLM ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374006",
"telephone_number": "718-755-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASER",
"first_name": "MDTARIK",
"middle_name": "BIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-07",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "275494",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME119862",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101256353",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "275494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MDTARIK",
"last_name": "NASER",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.