Metroplus Health Plan

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

METROPLUS HEALTH PLAN

Practice address

17545 88TH Ave
Apt # 5B
Jamaica, NY 11432-5759

Phone

(347) 484-6653

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Shamim Begum, MD,FACP

Title

Doctor

Phone

(718) 526-6660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smart Medical Care PC Former legal business name

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.

• Mosammat Ferdousi Khanom, MSW

  • Social Worker
  • Jamaica, NY
  • NPI 1174829964
  NPD (past)

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1740583764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17545 88TH AVE",
            "address_2": "APT # 5B",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325759",
            "telephone_number": "347-484-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17545 88TH AVE",
            "address_2": "APT # 5B",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325759",
            "telephone_number": "347-484-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLUS HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "BEGUM",
        "authorized_official_first_name": "SHAMIM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-526-6660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD,FACP"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PX35342R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Medical Care PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chandramouli L. Mettapalli, COTA
• Carlota Meusa
• Mary Mewborn-Broadus

• Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.