Active NPI
Mohammad a. Ahad, Physician P.C.
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1619002904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 193759
- Legal business name
- MOHAMMAD A. AHAD, PHYSICIAN P.C.
- Practice address
- 5303 Seabury St
Suite #1
Elmhurst, NY 11373-4443 - Phone
- (718) 205-3366
- Fax
- (718) 205-3369
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad Abdul Ahad, M.D.
- Title
- President
- Phone
- (718) 205-3366
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 193759 | NY | Primary |
Addresses
Primary practice location
5303 Seabury St
Suite #1
Elmhurst, NY 11373-4443
Mailing address
5303 Seabury St
Suite #1
Elmhurst, NY 11373-4443
Phone (718) 205-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01443374 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Elmhurst, NY
- NPI 1518058957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1619002904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5303 SEABURY ST",
"address_2": "SUITE #1",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734443",
"telephone_number": "718-205-3366",
"fax_number": "718-205-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 SEABURY ST",
"address_2": "SUITE #1",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734443",
"telephone_number": "718-205-3366",
"fax_number": "718-205-3369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMAD A. AHAD, PHYSICIAN P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AHAD",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "ABDUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-205-3366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "193759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01443374",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.