Infectious Disease Practice of Long Island PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

233680 Issued in NY

Legal business name

INFECTIOUS DISEASE PRACTICE OF LONG ISLAND PC

Practice address

165 N Village Ave
Suite 107
Rockville Centre, NY 11570-3761

Phone

(516) 442-4991

NPI assigned

Feb 26, 2013

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maqsood Alam, M.D.NPI 1326044926

Title

President

Phone

(516) 433-3750

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Maqsood Alam, M.D.

  • Infectious Disease Physician
  • Jericho, NY
  • NPI 1326044926
  NPD Authorized official

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1114267234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WILLETS LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531613",
            "telephone_number": "516-433-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE",
            "address_2": "SUITE 107",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703761",
            "telephone_number": "516-442-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE PRACTICE OF LONG ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "MAQSOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-433-3750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "233680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2780514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David D. Ilson, LCSW
• Yusef Imani, MD
• Imolloy College Rebecca Center
• Indra D. Daniels Physician PLLC
• Infant and Toddler Interventionists
• Leonard Ingber, MD
• Rita Ingram
• Gabriella Ingrassia, AUD
• Gaetano Innamorato, PA-C
• Integrated Medical Professionals PLLC

• Infectious Disease Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.