Organization Active NPI

M. Rashid Chaudhry MD PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1437446465
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
132562 Issued in NY
Legal business name
M. RASHID CHAUDHRY MD PC
Practice address
1 Brookdale PLZ
Room 157
Brooklyn, NY 11212-3139
Phone
(718) 240-6366
Fax
(718) 240-5688
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Mohammad Rashid Chaudhry, M.D.NPI 1275602989
Title
President
Phone
(718) 240-6366

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 132562 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Room 157
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ
Room 157
Brooklyn, NY 11212-3139
Phone (718) 240-6366

Other identifiers 2

IdentifierTypeStateIssuer
01873192MedicaidNY
00314856MedicaidNY

Other names 1

  • NEW YORK E.N.T. HEAD AND NECK ASSOCIATES Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150402000357 NY Part B Supplier - Clinic/Group Practice 2567789498 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1 Brookdale Plz
Rm 157
Brooklyn, NY 11212
Phone (718) 240-6366

9413 Flatlands Ave
Ste 102E
Brooklyn, NY 11236
Phone (203) 997-6490

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1437446465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "ROOM 157",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-6366",
            "fax_number": "718-240-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "ROOM 157",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-6366",
            "fax_number": "718-240-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. RASHID CHAUDHRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "RASHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-240-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "132562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01873192",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW YORK E.N.T. HEAD AND NECK ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.