Supreme Medical Care, PLLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207297 Issued in NY

Legal business name

SUPREME MEDICAL CARE, PLLC.

Practice address

18911 Jamaica Ave
Hollis, NY 11423-2513

Phone

(718) 479-1100

Fax

(718) 479-1103

NPI assigned

Oct 18, 2010

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahsan Nazir, M.D.NPI 1477543502

Title

President

Phone

(516) 633-9508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Ahsan Nazir, M.D.

  • Internal Medicine Physician
  • Hollis, NY
  • NPI 1477543502
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1477863900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CUSHING AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961050",
            "telephone_number": "516-633-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232513",
            "telephone_number": "718-479-1100",
            "fax_number": "718-479-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEDICAL CARE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "NAZIR",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-633-9508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hollis, NY
• Providers in Hollis, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.