Organization Active NPI

Quality Internal Medicine and Geriatrics

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1215465281
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
238485-1 Issued in NY
Legal business name
QUALITY INTERNAL MEDICINE AND GERIATRICS
Practice address
211 E 79TH St
New York, NY 10075-0819
Phone
(212) 879-1600
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Authorized official

Name
Mr. Shahjahan Nisar Chaudhry, MD
Title
Owner/President
Phone
(972) 971-2706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 238485-1 NY Primary

Addresses

Primary practice location

211 E 79TH St
New York, NY 10075-0819

Mailing address

PO Box 20637
Huntington Station, NY 11746-0860
Phone (972) 071-2706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1215465281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20637",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117460860",
            "telephone_number": "972-071-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750819",
            "telephone_number": "212-879-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY INTERNAL MEDICINE AND GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "SHAHJAHAN",
        "authorized_official_middle_name": "NISAR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-971-2706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238485-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.