Nazmul Nayeem, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000200 Issued in NY

Practice address

172-17 Jamaica Avenue
Jamaica, NY 11432-4134

Phone

(347) 692-4587

NPI assigned

Dec 31, 2015

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1013675016
  Medicare reassignment
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment
• Lake Oliver Emergency Group, LLC

  • Emergency Medicine Physician
  • Tallahassee, FL
  • NPI 1457012940

  Physician Assistant

  NPD

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1700241023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17217 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325562",
            "telephone_number": "347-692-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172-17 JAMAICA AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324134",
            "telephone_number": "347-692-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYEEM",
        "first_name": "NAZMUL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "000200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gitty Nathan
• National Council of Negro Women of Greater Ny
• Katelyn M Natoli
• Michelle Miriam Navi, DDS
• M Nayeem, DPM
• Anisa Osie Nayl, FNP
• Margaret H Naylor, CNM
• Gregory Nayvelt, MD
• Laurie V Nazaire, MS, CCC-SLP, TSSLD
• Yvon Nazaire

• Physician Assistant in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.