Mumtaz Mohidin

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

184482 Issued in NY

Practice address

431 Deer Park Ave
Babylon, NY 11702-2315

Phone

(631) 376-1101

Fax

(631) 376-1139

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1689625253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022315",
            "telephone_number": "631-376-1101",
            "fax_number": "631-376-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022315",
            "telephone_number": "631-376-1101",
            "fax_number": "631-376-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIDIN",
        "first_name": "MUMTAZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "184482",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "184482",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2511488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "184482",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "3X1011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Joseph Milone II, DC
• Julia Minicozzi, M.S., CF-SLP
• Celestina Mitchell, RN
• Modern Family Medicine PC
• Modern Medical Diagnostic Tests PLLC
• Julia T Monaco, MS, LMHC
• Lisa Michele Mone
• Maya Nicole Montalto
• Arielle Nicole Monteiro, CFY-SLP
• Lisa Ann Moore, RD

• Endocrinology, Diabetes & Metabolism Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.