Tasbirul Mohammed Alam, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

249805 Issued in NY

Practice address

3728 77TH St
Jackson Heights, NY 11372-6630

Phone

(516) 596-8923

NPI assigned

Jan 24, 2007

Last updated

Nov 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIDJDD/Endpoint/CIDJDD

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.

• Bronx Health Wellness Medicine PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1295557320
  Medicare reassignment NPD
• Rest Medical Care PC

  • Family Medicine Physician
  • Jackson Heights, NY
  • NPI 1508932443
  Medicare reassignment NPD
• Forest Hills Dermatology Group PLLC

  • Dermatology Physician
  • Kew Gardens, NY
  • NPI 1225309586
  NPD (past)
• RLD Medical Services, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1609986934
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1104971589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SPLIT ROCK RD",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033109",
            "telephone_number": "516-596-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 77TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726630",
            "telephone_number": "516-596-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "TASBIRUL",
        "middle_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243624",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104971589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Akopyan, M.D.
• Kaisary Akter
• Naveed Akter
• Al Kosto Inc (Al Kosto Pharmacy Inc)
• Nagah A. Alaidy, P.T.
• Hassan Mohammad Alamzad, DMD
• Alayon Counseling Services CSW PC
• Luis O Alayon, LCSW ACSW BCD
• Karina E Albarracin Villa
• Albert Baravarian M.D., PC

• Family Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.

Verify at the official NPI Registry.