Individual provider Active NPI

Mairaj Ahmed, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
National Provider Identifier
1114063930
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
051790 Issued in NY
Practice address
918 Pelham Pkwy S
#3
Bronx, NY 10462-1144
Phone
(718) 684-3131
Fax
(718) 684-3132
NPI assigned
Jan 29, 2007
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 051790 NY Primary

Addresses

Primary practice location

918 Pelham Pkwy S
#3
Bronx, NY 10462-1144

Mailing address

918 Pelham Pkwy S
#3
Bronx, NY 10462-1144
Phone (718) 684-3131

Other identifiers 1

IdentifierTypeStateIssuer
02646995MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005002487 NY Practitioner - Oral Surgery 0042528440 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
051790NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Medical Practice Plan PC CurrentSince Feb 15, 2017 Accepting new patients
Harlem Medical Associates PC CurrentSince May 8, 2015 Accepting new patients
NYU Langone Hospitals CurrentSince Jul 1, 2019 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals CurrentSince Jul 1, 2019 Accepting new patients
Ahmed Orthodontics PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

45 Research Way
Ste 206
Setauket, NY 11733
Phone (631) 575-9300

Interoperability endpoints

  • Direct secure messaging: maiahmed@montefioredirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1114063930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 PELHAM PKWY S",
            "address_2": "#3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621144",
            "telephone_number": "718-684-3131",
            "fax_number": "718-684-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 PELHAM PKWY S",
            "address_2": "#3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621144",
            "telephone_number": "718-684-3131",
            "fax_number": "718-684-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MAIRAJ",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "051790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02646995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.