Active NPI
Anjum Afshan Qureshi
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1639341597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022953
- Practice address
- 8742 169TH St
Jamaica, NY 11432-3632 - Phone
- (718) 739-2200
- Fax
- (718) 526-2830
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022953 | NY | Primary |
Addresses
Primary practice location
8742 169TH St
Jamaica, NY 11432-3632
Mailing address
24 Fairfax St
Valley Stream, NY 11580-3515
Phone (718) 739-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03028535 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022953 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vision Physical Therapy and Rehab | Physical Therapist | Current | Accepting new patients |
Locations
8742 169th St
Jamaica, NY 11432
Phone (718) 206-2222
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jamaica, NY
- NPI 1912394529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1639341597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FAIRFAX ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115803515",
"telephone_number": "718-739-2200",
"fax_number": "718-526-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8742 169TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323632",
"telephone_number": "718-739-2200",
"fax_number": "718-526-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "ANJUM",
"middle_name": "AFSHAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03028535",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.