Individual provider Active NPI

Muhammed M Haque, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1225103583
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
238067 Issued in NY
Practice address
3418 Broadway
2ND Floor
New York, NY 10031-7419
Phone
(212) 283-2099
Fax
(212) 234-2939
NPI assigned
Nov 22, 2006
Last updated
Oct 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238067 NY Primary

Addresses

Primary practice location

3418 Broadway
2ND Floor
New York, NY 10031-7419

Mailing address

565 W 125TH St
New York, NY 10027-3424
Phone (212) 283-2099

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
I20051230000514 NY Practitioner - Internal MedicinePractitioner - Other (Physician) 7810919057 Reassigns benefits to 1 organization
Practice locations: New York, NY; Jamaica, NY; Flushing, NY; Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City Medical Healthcare Associates PLLCGroup PAC ID 9032541768, 10 clinicians

Practice addresses (Care Compare)

3410 Broadway
Ofc 2
New York, NY 10031-7408
Phone (212) 283-2099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218363NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical Healthcare Associates PLLC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Muhammad M. Haque, MD, PC Internal Medicine Past Accepting new patients
Shirish Patel Medical P.C. PastSince Dec 2, 2010 Accepting new patients

Locations

3235 Steinway St
Astoria, NY 11103
Phone (718) 726-6563

2742 3rd Ave
Bronx, NY 10455
Phone (718) 576-5049

2802 Crescent St
Long Island City, NY 11102
Phone (718) 278-6666

3410 Broadway
New York, NY 10031
Phone (201) 299-4758

3418 Broadway
Ofc 2
New York, NY 10031
Phone (212) 927-0013

565 W 125th St
New York, NY 10027
Phone (212) 470-1000

10415 101st Ave
Ozone Park, NY 11416
Phone (718) 441-0660

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: muhammadm.haque@cmhap.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1225103583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273424",
            "telephone_number": "212-283-2099",
            "fax_number": "212-234-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317419",
            "telephone_number": "212-283-2099",
            "fax_number": "212-234-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "MUHAMMED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.