Mohammad Hamza Bin Abdul Malik
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · East Meadow, NY
NPI 1134817182 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1134817182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2201 Hempstead Turnpike
East Meadow, NY 11554 - Phone
- (516) 572-6501
- NPI assigned
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5 Kent St
Farmingdale, NY 11735-4001
777 Hemlock St
Macon, GA 31201-2155
PO Box
Macon, GA 31221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260428001691 | GA | Practitioner - Internal Medicine | 7517434442 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2201 Hempstead Turnpike
East Meadow, NY 11554
Mailing address
2201 Hempstead Turnpike
East Meadow, NY 11554
Other providers in East Meadow, NY
- 24 7 Ny Medical Health Provider PC
- Leslye Abbey
- Raghda Khaled M. Abdelrady
- Jason James Canete Abella
- Sarah Beth Aberasturi
- Sarah Susan Abraham
- Diana Abramova
- Kaitlyn Mae Abreu
All providers in East Meadow, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.