Organization Active NPI

Mohawk Valley Multispecialty Medical Group PLLC

  • Neurology Physician
  • Amsterdam, NY
National Provider Identifier
1184616930
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC
Practice address
4988 State Highway 30
Amsterdam Memorial Suite 201
Amsterdam, NY 12010-7520
Phone
(518) 428-5119
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Dr. Jamshaid A Minhas, MDNPI 1093707846
Title
Owner
Phone
(518) 389-1725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4988 State Highway 30
Amsterdam Memorial Suite 201
Amsterdam, NY 12010-7520

Mailing address

PO Box 11719
Mohawk Valley Multispecialty Medical Group PLLC
Albany, NY 12211-0719
Phone (185) 389-1725

Other identifiers 1

IdentifierTypeStateIssuer
02858419MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000789 NY Part B Supplier - Clinic/Group Practice 4688693849 Receives reassigned benefits from 1 practitioner
Practice locations: Amsterdam, NY; Schenectady, NY; Niskayuna, NY

National Provider Directory

National Provider Directory

Locations

4988 State Highway 30
Ste 201
Amsterdam, NY 12010
Phone (518) 428-5119

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

2123 River Rd
Schenectady, NY 12309
Phone (518) 381-1121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1184616930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11719",
            "address_2": "MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122110719",
            "telephone_number": "185-389-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4988 STATE HIGHWAY 30",
            "address_2": "AMSTERDAM MEMORIAL SUITE 201",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107520",
            "telephone_number": "518-428-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "MINHAS",
        "authorized_official_first_name": "JAMSHAID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-389-1725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02858419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.