Nassim Medical, P.C.

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

279137 Issued in NY

Legal business name

NASSIM MEDICAL, P.C.

Practice address

138-48 Elder Ave.
Flushing, NY 11355-4066

Phone

(718) 321-9500

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 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

Roland Nassim, M.D.NPI 1598852451

Title

Physician

Phone

(718) 321-9500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nassim Medical PC

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1790038628

  4082866785

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Nassim Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nassim Medical PC

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1790038628
  NPD tax ID

Practitioners 2

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.

• Roland Nassim, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1598852451
  NPD Authorized official
• Ariel Nassim

  • Sports Medicine (Internal Medicine) Physician
  • Great Neck, NY
  • NPI 1780959866
  NPD

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1497290894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD.",
            "address_2": "SUITE 375",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138-48 ELDER AVE.",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554066",
            "telephone_number": "718-321-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSIM MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "NASSIM",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-321-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176223",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "279137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette Narcisse, M.D.
• Karam Alfonse Nashed, DDS
• Suleman Nasimi, DDS
• Wazhma Nasiri-Ahad, M.D
• Daranee Nasongkhla
• Roland Nassim, MD
• Leba Nat, MA CCCSLP
• Zinaida Natanelova
• Clare L Natel, R.N.
• Jasmin Natera

• Sports Medicine (Internal Medicine) Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Sports Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.