NPIMap

Organization Active NPI

Mohamed Ahmed Physicians PC

  • Primary Care Clinic/Center
  • Fulton, NY
National Provider Identifier
1144425232
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
188122 Issued in NY
Legal business name
MOHAMED AHMED PHYSICIANS PC
Practice address
941 S 1St St
Fulton, NY 13069-4989
Phone
(315) 598-5921
Fax
(315) 598-5921
NPI assigned
Jun 19, 2007
Last updated
Jan 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Bessie M Loomis, OM
Title
Office Manager
Phone
(315) 598-5921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 188122 NY Primary

Addresses

Primary practice location

941 S 1St St
Fulton, NY 13069-4989

Mailing address

941 S 1St St
Fulton, NY 13069-4989
Phone (315) 598-5921

Other identifiers 2

IdentifierTypeStateIssuer
188122OtherNYLIC.
01299825MedicaidNY

National Provider Directory

National Provider Directory

Locations

941 S 1st St
Fulton, NY 13069
Phone (315) 593-7128

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1144425232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694989",
            "telephone_number": "315-598-5921",
            "fax_number": "315-598-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694989",
            "telephone_number": "315-598-5921",
            "fax_number": "315-598-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED AHMED PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-598-5921",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "188122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC.",
            "identifier": "188122",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01299825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.