Internal Medicine Hematology and Cancer Care PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

1656122-1 Issued in NY

Legal business name

INTERNAL MEDICINE HEMATOLOGY AND CANCER CARE PC

Practice address

184 N Main St
Liberty, NY 12754-1820

Phone

(845) 292-6151

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Iftikhar-Ahmad Shahid Chouhdry, MDNPI 1639168933

Title

Director

Phone

(845) 292-6151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Iftikhar-Ahmad Shahid Chouhdry, MD

  • Hematology & Oncology Physician
  • Ferndale, NY
  • NPI 1639168933
  Medicare reassignment Authorized official
• Renee Hook, FNP

  • Family Nurse Practitioner
  • Liberty, NY
  • NPI 1982915435
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1316375975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 RADCLIFF RD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345306",
            "telephone_number": "845-292-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 N MAIN ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541820",
            "telephone_number": "845-292-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE HEMATOLOGY AND CANCER CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "CHOUHDRY",
        "authorized_official_first_name": "IFTIKHAR-AHMAD",
        "authorized_official_middle_name": "SHAHID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-292-6151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "1656122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine A Holder, CASAC
• Jill M Holland, COTA
• Renee Hook, FNP
• Tiffany Anne Huebsch, RN
• Hussein Omar, Physician, P.C.
• Theodore N Isseks, MD
• Jack & Jill Developmental Services, SLP, OT & Psychology, PLLP
• Jack and Jill Developmental Services
• Sandhya Jakka, PT
• Jill Harmon, LCSW, PC

• Hematology & Oncology Physician in Liberty, NY
• Providers in Liberty, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.