Organization Active NPI

Maududi Medical Health PC

  • Geriatric Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1215544010
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
MAUDUDI MEDICAL HEALTH PC
Practice address
2116 Bath Ave
Brooklyn, NY 11214-4908
Phone
(347) 338-5111
Fax
(347) 338-5201
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Syed E Maududi, MD
Title
Owner
Phone
(847) 970-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

2116 Bath Ave
Brooklyn, NY 11214-4908

Mailing address

2116 Bath Ave
Brooklyn, NY 11214-4908
Phone (347) 338-5111

National Provider Directory

National Provider Directory

Locations

2116 Bath Ave
Brooklyn, NY 11214
Phone (347) 338-5111

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1215544010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144908",
            "telephone_number": "347-338-5111",
            "fax_number": "347-338-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144908",
            "telephone_number": "347-338-5111",
            "fax_number": "347-338-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUDUDI MEDICAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MAUDUDI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-970-1056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.