139 Medical Facility P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

238067 Issued in NY

Legal business name

139 MEDICAL FACILITY P C

Practice address

3418 Broadway
New York, NY 10031-7419

Phone

(212) 283-2099

NPI assigned

Mar 26, 2008

Last updated

Aug 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad Haque Jr., MDNPI 1952474595

Title

Doctor

Phone

(212) 283-2099

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad Haque

  • Pediatrics Physician
  • New York, NY
  • NPI 1952474595
  Authorized official Same address or phone

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1235301631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317419",
            "telephone_number": "212-283-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "139 MEDICAL FACILITY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-283-2099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238067",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "122027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 133Rd Street Pharmacy Inc (133Rd St Pharmacy Inc)
• 135 Medical PC
• 137 Mott Pharmacy, Inc.
• 137 Pharmacy Corp. (Family Pharmacy)
• 139 Center Pharmacy, LLC
• 139 Medical P.C.
• 139 Pharmacy, Inc.
• 13TH Street Optical, LLC (Cohen's Fashion Optical)
• 14 Street Medical, PC
• 1400 St Nicholas LLC (Safe Heart Pharmacy)

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.