Quazi Al-Tariq II, MD

Key facts

NPI

1124033808

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

176250 (NY)

Practice address

225 Dolson Ave Ste 206a
Middletown, NY 10940-6570

Phone

(845) 344-2573

Fax

(845) 341-1771

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• County of Sullivan Community/Behavioral Health Agency · Liberty, NY · NPI 1417987165
  Medicare reassignment Care Compare group NPD NY
• Mid Hudson Psychiatric Consultants PC Medical Specialty Clinic/Center · Middletown, NY · NPI 1356740336
  Medicare reassignment NPD Authorized official NY
• County of Sullivan Ambulance · Monticello, NY · NPI 1669355715
  Care Compare group NPD
• County of Sullivan Home Health Agency · Liberty, NY · NPI 1710915400
  Care Compare group
• County of Sullivan Skilled Nursing Facility · Liberty, NY · NPI 1912904541
  Care Compare group
• Medical Healthcare Services P.C. Psychiatry Physician · New York, NY · NPI 1427342658
  NPD PSYCHIATRY

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catskill Regional Medical Center Family Medicine Physician · Monticello, NY · NPI 1720039563
  Care Compare affiliation Hospital
• Garnet Health Medical Center Catskills Rural Acute Care Hospital · Harris, NY · NPI 1710977012
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Psychiatry
Also: Internal Medicine

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

County of Sullivan (2 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garnet Health Medical Center Catskills Hospital · Harris, NY · CCN 330386

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2024.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1124033808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 DOLSON AVE STE 206A",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406570",
            "telephone_number": "845-344-2573",
            "fax_number": "845-341-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DOLSON AVE STE 206A",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406570",
            "telephone_number": "845-344-2573",
            "fax_number": "845-341-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-2260",
            "fax_number": "845-333-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-TARIQ",
        "first_name": "QUAZI",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "176250",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "176250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02463472",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qaltariq9786@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "address_1": "707 E Main St",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109402650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Middletown, NY · Psychiatry Physician in New York