Moinuddin Ahmed

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60211958 Issued in NY

Legal business name

MOINUDDIN AHMED

Practice address

123 Pike St
Suite 207
Port Jervis, NY 12771-1824

Phone

(845) 856-2244

Fax

(845) 856-1166

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Judy Landers

Title

Office MGR

Phone

(845) 856-2244

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Moinuddin Ahmed, MD

  • Pulmonary Disease Physician
  • Port Jervis, NY
  • NPI 1336133420
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1255325346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PIKE ST",
            "address_2": "SUITE 207",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711824",
            "telephone_number": "845-856-2244",
            "fax_number": "845-856-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PIKE ST",
            "address_2": "SUITE 207",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711824",
            "telephone_number": "845-856-2244",
            "fax_number": "845-856-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOINUDDIN AHMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "845-856-2244"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60211958",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "60211958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02062875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele M Doyle
• Middletown Community Health Center Inc
• Melvina Arleen Miller, LPN
• Margaret Mitchell, NP
• Parviz R Mohassel, M.D.
• Montefiore Medical Center
• Montrose Vamc
• Kayla Morgiewicz, RDN, CDN
• Kristen J Moses-Westphal, LCSW
• Jamie Muller

• Internal Medicine Physician in Port Jervis, NY
• Providers in Port Jervis, 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 Sep 11, 2025; 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.