Active NPI
Mir Javed Iqbal, MD
- Hematology & Oncology Physician
- Bethpage, NY
National Provider Identifier
1164593851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 138686
- Practice address
- 4277 Hempstead TPK
Suite 107
Bethpage, NY 11714 - Phone
- (516) 735-9210
- Fax
- (516) 735-9247
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 138686 | NY | Primary |
Addresses
Primary practice location
4277 Hempstead TPK
Suite 107
Bethpage, NY 11714
Mailing address
4277 Hempstead TPK
Suite 107
Bethpage, NY 11714
Phone (516) 735-9210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110019339 | Other | NY | RAILROAD MDCR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vijay Shah Physician PC | Hematology & Oncology | Past | Accepting new patients |
| R & J Balagot Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Bethpage, NY
- NPI 1497834865
-
- Hematology & Oncology Physician
- Williston Park, NY
- NPI 1073892337
Hematology & Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1164593851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4277 HEMPSTEAD TPK",
"address_2": "SUITE 107",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "11714",
"telephone_number": "516-735-9210",
"fax_number": "516-735-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4277 HEMPSTEAD TPK",
"address_2": "SUITE 107",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "11714",
"telephone_number": "516-735-9210",
"fax_number": "516-735-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "MIR",
"middle_name": "JAVED",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "138686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MDCR",
"identifier": "110019339",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.