Organization Active NPI

North Rockland Medical Group P.C.

  • Internal Medicine Physician
  • West Haverstraw, NY
National Provider Identifier
1619069143
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH ROCKLAND MEDICAL GROUP P.C.
Practice address
105 S Route 9W Ste 1
West Haverstraw, NY 10993-1031
Phone
(845) 627-6114
Fax
(845) 627-8404
NPI assigned
Sep 29, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Muhammad Shahid, M.D.
Title
Medical Director
Phone
(845) 627-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

105 S Route 9W Ste 1
West Haverstraw, NY 10993-1031

Mailing address

105 S Route 9W Ste 1
West Haverstraw, NY 10993-1031
Phone (845) 627-6114

National Provider Directory

National Provider Directory

Locations

105 S Route 9W
Ste 1
West Haverstraw, NY 10993
Phone (845) 429-5200

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1619069143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S ROUTE 9W STE 1",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931031",
            "telephone_number": "845-627-6114",
            "fax_number": "845-627-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S ROUTE 9W STE 1",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931031",
            "telephone_number": "845-627-6114",
            "fax_number": "845-627-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ROCKLAND MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-627-6114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.