Individual provider Active NPI

Faruque Ahmed, D.O.

  • Surgery Physician
  • Jackson Heights, NY
National Provider Identifier
1477645315
Registry record updated Mar 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
241611 Issued in NY
Practice address
3728 77TH St
Jackson Heights, NY 11372-6630
Phone
(718) 200-0723
Fax
(516) 706-6026
NPI assigned
Sep 29, 2006
Last updated
Mar 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 241611 NY Primary

Addresses

Primary practice location

3728 77TH St
Jackson Heights, NY 11372-6630

Mailing address

275 Northpointe Pkwy
Suite 50
Amherst, NY 14228-1895
Phone (716) 834-1193

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
I20090818000731 NY Practitioner - General Surgery 8022110725 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care of Astoria PLLCGroup PAC ID 4981874641, 11 clinicians
Midtown New York Doctors Urgent Care PLLCGroup PAC ID 4981851037, 7 clinicians
Island Urgent Care PLLCGroup PAC ID 1355636440, 17 clinicians
Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians
Excel Urgent Care of Nesconset PLLCGroup PAC ID 5092985986, 17 clinicians
Excel Urgent Care of NHP PLLCGroup PAC ID 1658517883, 15 clinicians

Practice addresses (Care Compare)

15740 Crossbay Blvd
Howard Beach, NY 11414-2747
Phone (917) 300-6969

205 Lexington Ave
Suite 215
New York, NY 10016-6022
Phone (212) 684-4700

2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 346-5090

3430 Sunrise Hwy
Wantagh, NY 11793-4069
Phone (516) 900-1600

465 Smithtown Blvd
Nesconset, NY 11767-2421
Phone (631) 676-6700

900 Hillside Ave
New Hyde Park, NY 11040-2522
Phone (516) 519-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241611NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown New York Doctors Urgent Care PLLC CurrentSince Oct 27, 2022 Accepting new patients
Throgs Neck Urgent Medical Care PLLC CurrentSince Oct 27, 2022 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Dec 17, 2019 Accepting new patients
TJH Medical Services, P.C. Surgery CurrentSince Jan 21, 2014 Accepting new patients
Excel Urgent Care of Astoria PLLC CurrentSince Dec 17, 2019 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Nov 15, 2017 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jan 21, 2014 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jan 21, 2014 Accepting new patients
Nassau Suffolk Medical PLLC CurrentSince Oct 2, 2025 Accepting new patients
Excel Urgent Care of Goshen PLLC CurrentSince Sep 1, 2022 Accepting new patients
Excel Urgent Care of Nesconset, PLLC CurrentSince Dec 17, 2019 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince Dec 17, 2019 Accepting new patients
Excel Urgent Care of NHP PLLC CurrentSince Dec 17, 2019 Accepting new patients
Big Sandy Surgical Practice, PLLC Surgery PastSince Oct 1, 2006 Accepting new patients
Chenango Memorial Hospital, Inc. Surgery PastSince Dec 17, 2019 Accepting new patients
Fa Surgical PLLC Surgery Past Accepting new patients

Locations

3594 E Tremont Ave
Bronx, NY 10465
Phone (718) 597-5800

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

1 Hatfield Ln
Ste 2B
Goshen, NY 10924
Phone (845) 360-5530

15740 Crossbay Blvd
Howard Beach, NY 11414
Phone (917) 300-6969

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

266 Bangor St
Lindenhurst, NY 11757

465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700

900 Hillside Ave
New Hyde Park, NY 11040
Phone (516) 519-8400

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

205 Lexington Ave
#215
New York, NY 10016
Phone (212) 684-4700

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

125 Sunrise Hwy
West Islip, NY 11795
Phone (631) 376-6075

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396137600000",
    "number": "1477645315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 NORTHPOINTE PKWY",
            "address_2": "SUITE 50",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281895",
            "telephone_number": "716-834-1193",
            "fax_number": "716-639-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 77TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726630",
            "telephone_number": "718-200-0723",
            "fax_number": "516-706-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "FARUQUE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "241611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.