Individual provider Active NPI

Maqsood Sadiq

  • Adult Health Nurse Practitioner
  • Plainview, NY
National Provider Identifier
1538701156
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309215-01 Issued in NY
Practice address
1097 Old Country Rd Ste 101
Plainview, NY 11803-6505
Phone
(516) 261-9988
Fax
(516) 612-0071
NPI assigned
Oct 15, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309215-01 NY Primary

Addresses

Primary practice location

1097 Old Country Rd Ste 101
Plainview, NY 11803-6505

Mailing address

1359 Madison St
Elmont, NY 11003-1304
Phone (516) 708-6315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315002561 NY Practitioner - Nurse Practitioner 7810303963 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309215NYMDLicensed Practical Nurse
F309215-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 1, 2023 Accepting new patients
Long Island Kidney Care PC CurrentSince Aug 1, 2023 Accepting new patients
Kidney Care of Brooklyn and Queens, PLLC CurrentSince Dec 9, 2020 Accepting new patients

Locations

1402 Atlantic Ave
Brooklyn, NY 11216
Phone (718) 771-6961

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

1530 Bedford Ave
Fl 3
Brooklyn, NY 11216
Phone (718) 400-6951

901 Stewart Ave
Ste 204
Garden City, NY 11530
Phone (516) 261-9988

260 Main St
Ste 2
Islip, NY 11751
Phone (631) 581-2433

300 Community Dr
Manhasset, NY 11030

1097 Old Country Rd
Ste 101
Plainview, NY 11803
Phone (516) 261-9988

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1538701156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 MADISON ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031304",
            "telephone_number": "516-708-6315",
            "fax_number": "516-612-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY RD STE 101",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036505",
            "telephone_number": "516-261-9988",
            "fax_number": "516-612-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "MAQSOOD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309215-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.