Organization Active NPI

Inam Ul Haq MD PC

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1528169992
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
119772 Issued in NY
Legal business name
INAM UL HAQ MD PC
Practice address
966 50TH St
Brooklyn, NY 11219-3309
Phone
(718) 435-1777
Fax
(718) 435-2748
NPI assigned
Sep 26, 2006
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Inam Ul HaqNPI 1407957863
Title
MD
Phone
(718) 435-1831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 119772 NY Primary

Addresses

Primary practice location

966 50TH St
Brooklyn, NY 11219-3309

Mailing address

966 50TH St
Brooklyn, NY 11219-3309
Phone (718) 435-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000178 NY Part B Supplier - Clinic/Group Practice 1052325289 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1088841Inam-Ul Haq, MD966 50TH Street, Brooklyn, NY 11219Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory

Locations

500 Seaview Ave
Staten Island, NY 10305
Phone (212) 877-2631

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1528169992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193309",
            "telephone_number": "718-435-1777",
            "fax_number": "718-667-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193309",
            "telephone_number": "718-435-1777",
            "fax_number": "718-435-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INAM UL HAQ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "INAM",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-435-1831"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "119772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.