Kazi Ahmed

Individual provider Active NPI Registered Nurse · Spring Valley, NY

NPI 1366255754 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1366255754
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
825910 (NY)
Practice address
42 N Main St
Spring Valley, NY 10977-4906
Phone
(844) 828-2666
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
825910NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
White Glove Community Care, Inc. Past
since Feb 2, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 825910 NY Yes

Addresses

Primary practice location

42 N Main St
Spring Valley, NY 10977-4906

Mailing address

358 Westchester Ave
Mount Vernon, NY 10552-3039

Other providers in Spring Valley, NY

All providers in Spring Valley, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.