Organization Active NPI

Qaiser Abbas Medical PC

  • Internal Medicine Physician
  • Glen Oaks, NY
National Provider Identifier
1689078644
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QAISER ABBAS MEDICAL PC
Practice address
26310 Hillside Ave
Glen Oaks, NY 11004-1736
Phone
(718) 749-5921
Fax
(718) 749-5835
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Qaiser Abbas, MDNPI 1053371955
Title
Owner
Phone
(718) 749-5921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

26310 Hillside Ave
Glen Oaks, NY 11004-1736

Mailing address

26310 Hillside Ave
Glen Oaks, NY 11004-1736
Phone (718) 749-5921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150113000830 NY Part B Supplier - Clinic/Group Practice 8527382936 Receives reassigned benefits from 2 practitioners
Practice locations: Glen Oaks, NY; Hicksville, NY

National Provider Directory

National Provider Directory

Locations

26310 Hillside Ave
Glen Oaks, NY 11004
Phone (516) 599-2383

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1689078644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26310 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041736",
            "telephone_number": "718-749-5921",
            "fax_number": "718-749-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26310 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041736",
            "telephone_number": "718-749-5921",
            "fax_number": "718-749-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAISER ABBAS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "QAISER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-749-5921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.