Active NPI
Mohammed F Islam
- Registered Nurse
- Sunnyside, NY
National Provider Identifier
1346479953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 615905
- Practice address
- 4308 40TH St
6D
Sunnyside, NY 11104-3830 - Phone
- (917) 617-4271
- NPI assigned
- Jul 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 615905 | NY | Primary |
Addresses
Primary practice location
4308 40TH St
6D
Sunnyside, NY 11104-3830
Mailing address
4308 40TH St
6D
Sunnyside, NY 11104-3830
Phone (917) 617-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615905 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1346479953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 40TH ST",
"address_2": "6D",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043830",
"telephone_number": "917-617-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 40TH ST",
"address_2": "6D",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043830",
"telephone_number": "917-617-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAM",
"first_name": "MOHAMMED",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "615905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.