Individual provider Active NPI

Iftikhar-Ahmad Shahid Chouhdry, MD

  • Hematology & Oncology Physician
  • Ferndale, NY
National Provider Identifier
1639168933
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
165122 Issued in NY
Practice address
653 Harris Rd
Ferndale, NY 12734-5142
Phone
(845) 807-3635
NPI assigned
Oct 19, 2005
Last updated
Jun 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 165122 NY Primary

Addresses

Primary practice location

653 Harris Rd
Ferndale, NY 12734-5142

Mailing address

653 Harris Rd
Ferndale, NY 12734-5142
Phone (845) 807-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000094 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4385745355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

39 Old Monticello Rd
Ferndale, NY 12734-5224
Phone (845) 292-6151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
165122NYMDLicensed Practical Nurse

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GECGAA/Endpoint/GECGAA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1639168933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 HARRIS RD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345142",
            "telephone_number": "845-807-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 HARRIS RD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345142",
            "telephone_number": "845-807-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUHDRY",
        "first_name": "IFTIKHAR-AHMAD",
        "middle_name": "SHAHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "165122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, NY

Sources for this page

Verify at the official NPI Registry.