Active NPI
Tohidul Islam, DDS
- Dentist
- New York, NY
National Provider Identifier
1134877616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 063375
- Practice address
- 230 W 41St St FL 15
New York, NY 10036-7207 - Phone
- (332) 249-1842
- NPI assigned
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 063375 | NY | Primary |
Addresses
Primary practice location
230 W 41St St FL 15
New York, NY 10036-7207
Mailing address
4109 15TH Ave Apt C1
Brooklyn, NY 11219-1549
Phone (347) 557-3986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063375 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1134877616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 15TH AVE APT C1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112191549",
"telephone_number": "347-557-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 41ST ST FL 15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100367207",
"telephone_number": "332-249-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAM",
"first_name": "TOHIDUL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.