Qadri Medical PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

268169 Issued in NY

Legal business name

QADRI MEDICAL PC

Practice address

267-01 Hillside Avenue
Floral Park, NY 11004-1100

Phone

(718) 343-7790

Fax

(718) 343-7792

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Fatima M Khan, M.D.NPI 1407070667

Title

Owner

Phone

(718) 343-7790

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatima M Khan, MD

  • Rheumatology Physician
  • Floral Park, NY
  • NPI 1407070667
  Medicare reassignment NPD Authorized official
• Reena Rose Antony

  • Family Nurse Practitioner
  • Richmond Hill, NY
  • NPI 1801371653
  NPD (past)
• Syed S Qadri, M.D., D.O,

  • Family Medicine Physician
  • Floral Park, NY
  • NPI 1558432260
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1275905739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109-13 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-441-6048",
            "fax_number": "718-850-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267-01 HILLSIDE AVENUE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041100",
            "telephone_number": "718-343-7790",
            "fax_number": "718-343-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QADRI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-343-7790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "268169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Paul Proscia, M.D.
• Prosolution Rehab Services OT PT PLLC
• Allison Kathleen Puente, LCSW
• Maurice Edward Pugh
• Daisy John Pulinat
• Nadia S Qadri, DO
• Syed S Qadri, M.D., D.O,
• Syed Shah Hasanuddin Qadri, MD
• Quality in Real Time
• Quality Medical Provider PC

• Rheumatology Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.