Individual provider Active NPI

Asim Hameedi

  • Cardiovascular Disease Physician
  • Oakland Gardens, NY
National Provider Identifier
1508968835
Registry record updated Jul 26, 2016
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Mar 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
214380 Issued in NY
Practice address
21318 Union Tpke
Oakland Gardens, NY 11364-3522
Phone
(718) 465-3200
Fax
(718) 465-9792
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 214380 NY Primary

Addresses

Primary practice location

21318 Union Tpke
Oakland Gardens, NY 11364-3522

Mailing address

21318 Union Tpke
Bayside, NY 11364-3522
Phone (718) 465-3200

Other identifiers 1

IdentifierTypeStateIssuer
02139760MedicaidNY

Other names 1

  • Dr. Asim Hameedi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214380NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center Past Accepting new patients
Ny Family Medical Docs PC Past Accepting new patients

Organizations & group practices 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1508968835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21318 UNION TPKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643522",
            "telephone_number": "718-465-3200",
            "fax_number": "718-465-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21318 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643522",
            "telephone_number": "718-465-3200",
            "fax_number": "718-465-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEEDI",
        "first_name": "ASIM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "214380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02139760",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASIM",
            "last_name": "HAMEEDI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oakland Gardens, NY

Sources for this page

Verify at the official NPI Registry.