Individual provider Active NPI

Tauqeer Ahmad, MD

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1366683757
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
252339 Issued in NY
Practice address
482 Mason Ave
Staten Island, NY 10305-3232
Phone
(718) 987-7762
Fax
(718) 987-1210
NPI assigned
Mar 13, 2009
Last updated
May 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 252339 NY Primary

Addresses

Primary practice location

482 Mason Ave
Staten Island, NY 10305-3232

Mailing address

482 Mason Ave
Staten Island, NY 10305-3232
Phone (718) 775-5282

Other identifiers 1

IdentifierTypeStateIssuer
03112278MedicaidNY

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
I20090806000554 NY Practitioner - Family Practice 3971656026 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

482 Mason Ave
Staten Island, NY 10305-3232
Phone (718) 987-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
American Comprehensive Healthcare Medical Group PC PastSince Nov 1, 2014 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICHBA/Endpoint/JICHBA
  • Direct secure messaging: taa9061@direct.nyp.org
  • Direct secure messaging: tauqeerahmad@mai.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1366683757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053232",
            "telephone_number": "718-775-5282",
            "fax_number": "718-987-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053232",
            "telephone_number": "718-987-7762",
            "fax_number": "718-987-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "TAUQEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "252339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03112278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.