Mohammad Waduduzzaman Bhuyan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

036853 Issued in NY

Practice address

8950 164TH St
Ste 2a
Jamaica, NY 11432-5142

Phone

(718) 658-4050

Fax

(718) 658-8910

NPI assigned

Nov 8, 2005

Last updated

Mar 7, 2023By 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 2

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 25, 2015 through Nov 25, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• City Dental Care Jamaica P.C.

  • Dentist
  • Jamaica, NY
  • NPI 1952655854
  NPD (past) Authorized official
• Jamaica Dental Studio PLLC

  • General Practice Dentistry
  • Jamaica, NY
  • NPI 1518650589
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720069651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 164TH ST",
            "address_2": "STE 2A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325142",
            "telephone_number": "718-658-4050",
            "fax_number": "718-658-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 164TH ST",
            "address_2": "STE 2A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325142",
            "telephone_number": "718-658-4050",
            "fax_number": "718-658-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUYAN",
        "first_name": "MOHAMMAD",
        "middle_name": "WADUDUZZAMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "036853",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0010710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00722770",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF EDUCATION",
            "identifier": "036853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naeema Bhuiya, DDS
• Rubina Bhura, DO
• Aaima Ibrahim Bhutta, MD
• Zara Ibrahim Bhutta, MD
• Mohammad Ahmed Bhutto, M.D.
• Jane Bickford
• Cynthia Joanne Bien-Aime, LMSW
• Yombenkis Bigay
• Danielle Biggs Cassidy
• Tracy Marie Bildstein, OD

• Dentist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.