Ny Pediatric Pulmonary & Sleep Medicine PLLC

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

Legal business name

NY PEDIATRIC PULMONARY & SLEEP MEDICINE PLLC

Practice address

465 Blue Point Rd
Farmingville, NY 11738-1839

Phone

(631) 495-1962

Fax

(631) 615-1043

NPI assigned

Jan 5, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khalid S Ahmad, MDNPI 1568622397

Title

Owner

Phone

(631) 495-1962

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khalid Saifullah Ahmad, MD

  • Pediatric Pulmonology Physician
  • Farmingville, NY
  • NPI 1568622397
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1700474897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BLUE POINT RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381839",
            "telephone_number": "631-495-1962",
            "fax_number": "631-615-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BLUE POINT RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381839",
            "telephone_number": "631-495-1962",
            "fax_number": "631-615-1043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "448 Griffing Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119013012",
            "country_code": "US",
            "telephone_number": "631-495-1962",
            "fax_number": "631-615-1043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Saint Nicholas Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374167",
            "country_code": "US",
            "telephone_number": "631-495-1962",
            "fax_number": "631-615-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NY PEDIATRIC PULMONARY & SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-495-1962",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guither Noel
• Jane Novo
• Ijeoma Jacqueline Nwabuche
• Zuhair Nwaiser, DDS
• Ny Metro Dental, PC (Total Dental Care of Farmingville)
• Kelly O'Donnell, LMT
• Jean-Marie O'Hehir, MSW
• Patrick O'Reilly
• Christopher E. O'Sullivan, L.M.T.
• Olawumi O Ojekanmi, LPN

• Pediatric Pulmonology Physician in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Pediatric Pulmonology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.