Individual provider Active NPI

Mohammed Shafiqulhaque Chowdhury, MD

  • Family Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1396018933
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
262426-1 Issued in NY
Practice address
7038 Broadway # 1F
Jackson Heights, NY 11372-6134
Phone
(718) 565-5600
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 262426 NY
Family Medicine Physician 207Q00000X 262426-1 NY Primary

Addresses

Primary practice location

7038 Broadway # 1F
Jackson Heights, NY 11372-6134

Mailing address

40-32 74TH Street
First Floor
Elmhurst, NY 11373

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
I20120307000646 NY Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 7618136813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

1169 Liberty Ave
Brooklyn, NY 11208-3308
Phone (646) 604-8180

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262426-1NYMDFamily Medicine Physician
262426NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Medical Care PLLC Current Accepting new patients
Modern Physician Services PC CurrentSince May 11, 2025 Accepting new patients
Hillside Urgent Care PLLC CurrentSince Sep 1, 2024 Accepting new patients
Jackson Medical, PLLC PastSince May 12, 2024 Accepting new patients

Locations

1169 Liberty Ave
Brooklyn, NY 11208
Phone (646) 604-8180

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

10342 Lefferts Blvd
South Richmond Hill, NY 11419
Phone (929) 468-9930

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1396018933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-32 74TH STREET",
            "address_2": "FIRST FLOOR",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7038 BROADWAY # 1F",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726134",
            "telephone_number": "718-565-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "MOHAMMED",
        "middle_name": "SHAFIQULHAQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "262426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "262426-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.