Ali-Mohammed Waliul Islam, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

253012 Issued in NY

Practice address

5525 Broadway
Bronx, NY 10463-5202

Phone

(718) 884-0279

Fax

(718) 548-3867

NPI assigned

Jul 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ali W. Islam Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: alislam@montefioredirect.com
• Direct secure messaging: ali.islam@damian.eclinicaldirectplus.com

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

• Montefiore Medical Center

  • Dentist
  • Bronx, NY
  • NPI 1275710519
  Medicare reassignment
• Damian Family Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1487923595
  NPD
• Damian Family Care Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1508955592
  NPD

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1235369463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635202",
            "telephone_number": "718-884-0279",
            "fax_number": "718-548-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635202",
            "telephone_number": "718-884-0279",
            "fax_number": "718-548-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "ALI-MOHAMMED",
        "middle_name": "WALIUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03147037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "ISLAM",
            "middle_name": "W.",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Ester Iskhakov
• Michael Iskhakov
• Nathaniel Iskhakov, MD
• Sonya Iskhakov
• Yafa Iskhakova
• Dilruba Islam, D.D.S
• Fahim Islam, PHARMD
• Kazi Fahmida Islam, PHARM D.
• Marjan Islam, M.D.
• Mohammad Monirul Islam

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.