Individual provider Active NPI

Ahsan Nazir, M.D.

  • Internal Medicine Physician
  • Hollis, NY
National Provider Identifier
1477543502
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207297 Issued in NY
Practice address
18911 Jamaica Ave
Hollis, NY 11423
Phone
(718) 479-1100
Fax
(718) 479-1103
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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 207297 NY Primary

Addresses

Primary practice location

18911 Jamaica Ave
Hollis, NY 11423

Mailing address

18911 Jamaica Ave
Hollis, NY 11423-2513
Phone (516) 640-5402

Other identifiers 1

IdentifierTypeStateIssuer
207297OtherNYPHYSICIAN LICENSE

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
I20100626000206 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0941229710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18911 Jamaica Ave
Hollis, NY 11423-2513
Phone (718) 479-1100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207297NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jan 9, 2015 Accepting new patients
Saira Medical Care PLLC Internal Medicine PastSince Dec 1, 2013 Accepting new patients
Arthritis & Osteoporosis Care PLLC Past Accepting new patients
Tanweer Memon MD PA Internal Medicine Past Accepting new patients

Locations

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

50 Water St
Fl 3
New York, NY 10004

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

101 Hospital Rd
Rm 263
Patchogue, NY 11772
Phone (631) 687-4131

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

300 Community Dr
Plandome, NY 11030

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIABBA
  • Direct secure messaging: anazir1458136@nychhc.direct-ci.com

Organizations & group practices 8

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1477543502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18911 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232513",
            "telephone_number": "516-640-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "718-479-1100",
            "fax_number": "718-479-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIR",
        "first_name": "AHSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "207297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

Verify at the official NPI Registry.