Individual provider Active NPI

MD Muzibul Huq, MD

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1144081779
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P126728 Issued in NY
Practice address
5901 Palisade Ave
Bronx, NY 10471-1205
Phone
(718) 581-1000
NPI assigned
Jan 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X P126728 NY Primary

Addresses

Primary practice location

5901 Palisade Ave
Bronx, NY 10471-1205

Mailing address

100 Landau Ave
Elmont, NY 11003-1316
Phone (609) 287-1744

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P126728NYMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1144081779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LANDAU AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031316",
            "telephone_number": "609-287-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PALISADE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711205",
            "telephone_number": "718-581-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUQ",
        "first_name": "MD",
        "middle_name": "MUZIBUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "P126728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.