Individual provider Active NPI

Abdul-Haki Issah, M.D.

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1770684920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
182636 Issued in NY
Practice address
75 E 116TH St
New York, NY 10029-1150
Phone
(212) 828-7700
Fax
(212) 828-7800
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 182636 NY Primary

Addresses

Primary practice location

75 E 116TH St
New York, NY 10029-1150

Mailing address

18 Wo Bauer LN
Orangeburg, NY 10962-1018
Phone (845) 613-7503

Other identifiers 1

IdentifierTypeStateIssuer
01426388MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050115000082 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 7416906532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SLR FPP University Medical Practice Associates Infectious Disease Past Accepting new patients
North General Physician Services PLLC PastSince Jul 1, 2006 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770684920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WO BAUER LN",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621018",
            "telephone_number": "845-613-7503",
            "fax_number": "845-613-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291150",
            "telephone_number": "212-828-7700",
            "fax_number": "212-828-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSAH",
        "first_name": "ABDUL-HAKI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "182636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01426388",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.