Individual provider Active NPI

Muhammad Arslan Muzaffar, MD

  • Psychiatry Physician
  • Amityville, NY
National Provider Identifier
1174836068
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
290663 Issued in NY
Practice address
400 Sunrise Hwy RM 307
Amityville, NY 11701-2508
Phone
(631) 449-0734
NPI assigned
Jul 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 290663 NY Primary

Addresses

Primary practice location

400 Sunrise Hwy RM 307
Amityville, NY 11701-2508

Mailing address

400 Sunrise Hwy RM 307
Amityville, NY 11701-2508
Phone (631) 449-0734

Other practice location 1

1115 20th Street
Suite 205
Huntington, WV 25703
Phone (304) 691-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927000140 NY Practitioner - Psychiatry 6305086133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Magnetic Resonance Imaging Associates PCGroup PAC ID 8729991971, 9 clinicians

Practice addresses (Care Compare)

81 Louden Ave
Amityville, NY 11701-2736
Phone (631) 789-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
290663NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Long Island Home CurrentSince Nov 1, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 2, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 2, 2021 Accepting new patients
The Long Island Home CurrentSince Nov 1, 2017 Accepting new patients
Brunswick Hospital Center, Inc Past Accepting new patients

Locations

400 Sunrise Hwy
Rm 307
Amityville, NY 11701
Phone (631) 449-0734

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7559 263rd St
Rm 132
Glen Oaks, NY 11004
Phone (718) 470-8023

300 Community Dr
Plandome, NY 11030

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1174836068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY RM 307",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-449-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY RM 307",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-449-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 20th Street",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "25703",
            "country_code": "US",
            "telephone_number": "304-691-1500",
            "fax_number": "304-691-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUZAFFAR",
        "first_name": "MUHAMMAD",
        "middle_name": "ARSLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "290663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.