Mohammad Ejaz Qureshi, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

125236 Issued in NY

Practice address

570 West 125TH Street
New York, NY 10027-3407

Phone

(212) 666-6600

NPI assigned

Dec 18, 2006

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

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 Medicine

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275696783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WEST 125TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273407",
            "telephone_number": "212-666-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WEST 125TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273407",
            "telephone_number": "212-666-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MOHAMMAD",
        "middle_name": "EJAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "125236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00234464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anam Qureshi, M.D.
• Ashhad Ahmed Qureshi, MD
• Farah Qureshi, RDH
• Huma Qureshi
• Irina Qureshi, DPT
• Natasha Qureshi, MD
• Nayab Arooj Qureshi, LMSW
• Sheeraz A Qureshi, MD
• Sumaiyah Qureshi, MBBS
• R & D Optical Inc.

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.