Active NPI
Pervaiz Iqbal Physician PC
- Pulmonary Disease Physician
- Roslyn, NY
National Provider Identifier
1477765469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PERVAIZ IQBAL PHYSICIAN PC
- Practice address
- 10 E Harbor Court
Roslyn, NY 11576 - Phone
- (718) 641-1309
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Indra Parboo
- Title
- Front Office Manager
- Phone
- (718) 641-1117
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NY | ||
| Pulmonary Disease Physician | 207RP1001X | NY | Primary |
Addresses
Primary practice location
10 E Harbor Court
Roslyn, NY 11576
Mailing address
10 E Harbor Court
Roslyn, NY 11576
Phone (718) 641-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3048 Brighton 1st St
Ste 6
Brooklyn, NY 11235
Phone (718) 676-6416
183 Broadway
Ste 309
Hicksville, NY 11801
Phone (516) 303-0537
512 Old Country Rd
Plainview, NY 11803
Phone (718) 641-1117
514 Old Country Rd
Plainview, NY 11803
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- South Richmond Hill, NY
- NPI 1083658918
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1659697878
-
- Physician Assistant
- South Richmond Hill, NY
- NPI 1699346775
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1932862943
-
- Internal Medicine Physician
- South Richmond Hill, NY
- NPI 1730258682
-
- Family Medicine Physician
- South Richmond Hill, NY
- NPI 1033341185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1477765469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E HARBOR COURT",
"city": "ROSLYN",
"state": "NY",
"postal_code": "11576",
"telephone_number": "718-641-1117",
"fax_number": "718-756-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E HARBOR COURT",
"city": "ROSLYN",
"state": "NY",
"postal_code": "11576",
"telephone_number": "718-641-1309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERVAIZ IQBAL PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "PARBOO",
"authorized_official_first_name": "INDRA",
"authorized_official_title_or_position": "FRONT OFFICE MANAGER",
"authorized_official_telephone_number": "718-641-1117"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.