Organization Active NPI

Mohammad a. Ahad, Physician P.C.

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1619002904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
193759 Issued in NY
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

Updated by the provider on Aug 22, 2020

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.NPI 1518058957
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01443374MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.