Individual provider Active NPI

Muddassir Ali Aftab, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1194469940
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
931 49TH Street, Psychiatry Residency Training Program
2ND Floor
Brooklyn, NY 11219
Phone
(718) 283-6000
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

931 49TH Street, Psychiatry Residency Training Program
2ND Floor
Brooklyn, NY 11219

Mailing address

931 49TH Street, Residency Coordinator, Psychiatry R
2ND Floor
Brooklyn, NY 11219
Phone (718) 283-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260519001451 PA Practitioner - Psychiatry 3072082189
I20260617003239 NY Practitioner - Psychiatry 3072082189

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Packer HospitalGroup PAC ID 8022915180, shared by 5 NPIs, 53 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Suite B
Sayre, PA 18840-1625
Phone (570) 888-6666

91 Hospital Dr
Towanda, PA 18848-9702
Phone (570) 265-2191

Hospital & facility affiliations

  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

National Provider Directory

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1194469940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 49TH STREET, RESIDENCY COORDINATOR, PSYCHIATRY R",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 49TH STREET, PSYCHIATRY RESIDENCY TRAINING PROGRAM",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFTAB",
        "first_name": "MUDDASSIR",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.