Individual provider Active NPI

Nadeem Ahmed, M.D.,M.P.H.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1255499190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237916-1 Issued in NY
Practice address
2102 Kings Hwy
Brooklyn, NY 11229-1537
Phone
(718) 253-6660
Fax
(718) 951-6584
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 237916-1 NY Primary

Addresses

Primary practice location

2102 Kings Hwy
Brooklyn, NY 11229-1537

Mailing address

21 Townley Ave
Staten Island, NY 10314-5635
Phone (718) 698-8018

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
I20071127000061 NY Practitioner - Internal MedicinePractitioner - Preventive Medicine 6305934464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shahed Ahmed, M.D.,PCGroup PAC ID 8820283203, 2 clinicians

Practice addresses (Care Compare)

2102 Kings Hwy
Brooklyn, NY 11229-1537
Phone (718) 253-6660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237916-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Shahed Ahmed, M.D.,PC CurrentSince Jan 1, 2013 Accepting new patients

Locations

2102 Kings Hwy
Brooklyn, NY 11229
Phone (718) 253-6660

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCCCD/Endpoint/HJCCCD
  • Direct secure messaging: nadeemahmed@mai.allscriptsdirect.net
  • Direct secure messaging: nahmed398736@northwell.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255499190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TOWNLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145635",
            "telephone_number": "718-698-8018",
            "fax_number": "718-982-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291537",
            "telephone_number": "718-253-6660",
            "fax_number": "718-951-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NADEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237916-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.