Individual provider Active NPI

Hayder Abidali, DO

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1417535527
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
333376 Issued in NY
Practice address
234 E 149TH St Ste 2A5
Bronx, NY 10451-5504
Phone
(602) 688-1079
Fax
(409) 217-3223
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 333376 NY Primary

Addresses

Primary practice location

234 E 149TH St Ste 2A5
Bronx, NY 10451-5504

Mailing address

299 E 161St St Apt 902
Bronx, NY 10451-2688
Phone (602) 688-1079

Other practice location 1

299 E 161st St Apt 902
Bronx, NY 10451-2688
Phone (602) 688-1079

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
333376NYMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hayder.abidali@hca4.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1417535527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 E 161ST ST APT 902",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512688",
            "telephone_number": "602-688-1079",
            "fax_number": "409-217-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST STE 2A5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "602-688-1079",
            "fax_number": "409-217-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 E 161st St Apt 902",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104512688",
            "country_code": "US",
            "telephone_number": "602-688-1079",
            "fax_number": "409-217-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIDALI",
        "first_name": "HAYDER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "333376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.