Individual provider Active NPI

Mohammad Mahbubul Islam, M.D.

  • Internal Medicine Physician
  • Newburgh, NY
National Provider Identifier
1346325263
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240670 Issued in NY
Practice address
299 Fullerton Ave
Newburgh, NY 12550-3723
Phone
(845) 562-1900
Fax
(845) 562-2100
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 240670 NY Primary

Addresses

Primary practice location

299 Fullerton Ave
Newburgh, NY 12550-3723

Mailing address

299 Fullerton Ave
Newburgh, NY 12550-3723
Phone (845) 562-1900

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
I20080103000293 NY Practitioner - Internal Medicine 9537249537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

299 Fullerton Ave
Newburgh, NY 12550-3723
Phone (845) 562-1900

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 568-2311

Hospital & facility affiliations

  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240670NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MM Islam MD PC Internal Medicine CurrentSince Nov 3, 2008 Accepting new patients
Baltsas Chiropractic, PC PastSince Jan 1, 1995 Accepting new patients
Best Internal Medicine, P.C. Internal Medicine Past Accepting new patients

Locations

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

299 Fullerton Ave
Newburgh, NY 12550
Phone (845) 562-1900

10 Little Britain Rd
Ste 102
Newburgh, NY 12550
Phone (845) 561-4032

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1346325263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503723",
            "telephone_number": "845-562-1900",
            "fax_number": "845-562-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503723",
            "telephone_number": "845-562-1900",
            "fax_number": "845-562-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MOHAMMAD",
        "middle_name": "MAHBUBUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.