Organization Active NPI

Taimur Ahmad D.O.

  • Family Medicine Physician
  • Corona, NY
National Provider Identifier
1356158489
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TAIMUR AHMAD D.O.
Doing business as
Taimur Ahmad DO
Practice address
3758 108TH St
Corona, NY 11368-2023
Phone
(718) 592-1616
NPI assigned
Dec 12, 2024
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Dr. Taimur Ahmad, D.O.NPI 1013598523
Title
Physician
Phone
(347) 572-5826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

3758 108TH St
Corona, NY 11368-2023

Mailing address

3758 108TH St
Corona, NY 11368-2023
Phone (718) 592-1616

Other practice location 1

1025 Islip Ave
Central Islip, NY 11722-4819
Phone (631) 234-3800

Other names 1

  • TAIMUR AHMAD DO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Islip Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1356158489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682023",
            "telephone_number": "718-592-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682023",
            "telephone_number": "718-592-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Islip Ave",
            "address_purpose": "LOCATION",
            "city": "Central Islip",
            "state": "NY",
            "postal_code": "117224819",
            "country_code": "US",
            "telephone_number": "631-234-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAIMUR AHMAD D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "TAIMUR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "347-572-5826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAIMUR AHMAD DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TAIMUR AHMAD DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.