Individual provider Active NPI

Muhammad Atif Masood Noori

  • Student in an Organized Health Care Education/Training Program
  • Johnson City, NY
National Provider Identifier
1689226581
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
30 Harrison St Ste 250
Johnson City, NY 13790-2176
Phone
(607) 763-6580
NPI assigned
Jul 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 341133 NY
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

30 Harrison St Ste 250
Johnson City, NY 13790-2176

Mailing address

800 Pearl St Apt A4
Elizabeth, NJ 07202-3469
Phone (516) 603-7952

Other practice location 1

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 763-6580

Other practice location 2

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 Lewis Rd
Binghamton, NY 13905-1013

33 Lewis Rd
FL 2
Binghamton, NY 13905-1054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341133NYMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1689226581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEARL ST APT A4",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023469",
            "telephone_number": "516-603-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRISON ST STE 250",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902176",
            "telephone_number": "607-763-6580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4417 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138503556",
            "country_code": "US",
            "telephone_number": "607-763-6580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Williamson St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023625",
            "country_code": "US",
            "telephone_number": "908-994-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOORI",
        "first_name": "MUHAMMAD",
        "middle_name": "ATIF MASOOD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "341133",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.