Active NPI
Mohammed A Muqtadar
- Psychiatry Physician
- Binghamton, NY
National Provider Identifier
1558486456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P51148
- Practice address
- 425 Robinson St
Binghamton, NY 13901-4101 - Phone
- (607) 724-1391
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | P51148 | NY | Primary |
Addresses
Primary practice location
425 Robinson St
Binghamton, NY 13901-4101
Mailing address
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P51148 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P51148 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1558486456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 NAPIER AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852112",
"telephone_number": "269-983-8172",
"fax_number": "256-998-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 ROBINSON ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139014101",
"telephone_number": "607-724-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUQTADAR",
"first_name": "MOHAMMED",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "P51148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P51148",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.