Active NPI
Rizwan Chawdri Naeem, MBBS
- Clinical Molecular Genetics Physician
- Bronx, NY
National Provider Identifier
1780290114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- License
- 96149
- Practice address
- 1635 Poplar St
Bronx, NY 10461-2600 - Phone
- (718) 405-8101
- Fax
- (718) 931-3637
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Molecular Genetics Physician | 207SG0203X | 96149 | NY | Primary |
Addresses
Primary practice location
1635 Poplar St
Bronx, NY 10461-2600
Mailing address
1635 Poplar St
Bronx, NY 10461-2600
Phone (718) 405-8101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96149 | NY | MD | Clinical Molecular Genetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1780290114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 POPLAR ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104612600",
"telephone_number": "718-405-8101",
"fax_number": "718-931-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 POPLAR ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104612600",
"telephone_number": "718-405-8101",
"fax_number": "718-931-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAEEM",
"first_name": "RIZWAN",
"middle_name": "CHAWDRI",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "NY",
"license": "96149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.