Individual provider Active NPI

Naheed Sultana, M.D.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1679580948
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211588 Issued in NY
Practice address
8742 169TH St
Jamaica, NY 11432-3632
Phone
(718) 206-2222
Fax
(718) 206-9090
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211588 NY Primary

Addresses

Primary practice location

8742 169TH St
Jamaica, NY 11432-3632

Mailing address

8742 169TH St
Jamaica, NY 11432-3632
Phone (718) 206-2222

Other identifiers 1

IdentifierTypeStateIssuer
01873541MedicaidNY

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
I20050719000145 NY Practitioner - Internal Medicine 9335118678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8742 169TH St
Jamaica, NY 11432-3632
Phone (718) 206-2222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211588NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Medical Care PC Internal Medicine CurrentSince Dec 30, 1998 Accepting new patients

Locations

8742 169th St
Jamaica, NY 11432
Phone (718) 206-2222

Networks

  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1679580948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8742 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323632",
            "telephone_number": "718-206-2222",
            "fax_number": "718-206-9090"
        },
        {
            "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": "718-206-2222",
            "fax_number": "718-206-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "NAHEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01873541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.