NPIMap

Organization Active NPI

Ahmed E. Elemam Medical P.C.

  • Specialist
  • Flushing, NY
National Provider Identifier
1174696108
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199870 Issued in NY
Legal business name
AHMED E. ELEMAM MEDICAL P.C.
Doing business as
Ahmed E, Elemam Medical P.C.
Practice address
15319 Union Tpke
Flushing, NY 11367-3943
Phone
(718) 380-8200
Fax
(718) 380-5381
NPI assigned
Nov 16, 2006
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. Ahmed E. Elemam, MDNPI 1891876504
Title
MD
Phone
(718) 380-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 199870 NY Primary

Addresses

Primary practice location

15319 Union Tpke
Flushing, NY 11367-3943

Mailing address

15319 Union Tpke
Flushing, NY 11367-3943
Phone (718) 380-8200

Other identifiers 1

IdentifierTypeStateIssuer
01739968MedicaidNY

Other names 1

  • AHMED E, ELEMAM MEDICAL P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

15319 Union Tpke
Flushing, NY 11367
Phone (631) 355-6425

Practitioners & affiliated clinicians

Practitioners 4

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1174696108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15319 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673943",
            "telephone_number": "718-380-8200",
            "fax_number": "718-380-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15319 UNION TPKE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673943",
            "telephone_number": "718-380-8200",
            "fax_number": "718-380-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED E. ELEMAM MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "ELEMAM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-380-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "199870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHMED E, ELEMAM MEDICAL P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.