Mohammed Kuddus Chishti

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10659 95TH St
Ozone Park, NY 11417-1541

Phone

(718) 974-9998

NPI assigned

Jun 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ascend Applied Behavior Analysis P.C.

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
  • NPI 1275303315
  NPD (past)
• Ascend Behavior Center Corp.

  dba Abc Nyc

  • Early Intervention Provider Agency
  • Ozone Park, NY
  • NPI 1588122485

  Case Manager/Care Coordinator

  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1619535713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10659 95TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171541",
            "telephone_number": "718-974-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10659 95TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171541",
            "telephone_number": "718-974-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHTI",
        "first_name": "MOHAMMED",
        "middle_name": "KUDDUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittiny Cepeda
• Mark Chasin
• Benyna Chen
• William I Chica, PTA
• Cherry Ann Montehermoso Chishti, M.ED
• Chotu Corporation (Chotu Pharmacy)
• Yukang Chou
• Kashif M Choudhry, P.A
• Sharmin Choudhury, PA
• Tanzina Choudhury, PHARMD

• Case Manager/Care Coordinator in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.