Individual provider Active NPI

Mohammed Billah

  • Pedorthist
  • Jamaica, NY
National Provider Identifier
1801464003
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
C50548 Issued in NY
Practice address
16310 89TH Ave
Jamaica, NY 11432-5006
Phone
(929) 335-0400
NPI assigned
Jun 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X C50548 NY Primary

Addresses

Primary practice location

16310 89TH Ave
Jamaica, NY 11432-5006

Mailing address

16310 89TH Ave
Jamaica, NY 11432-5006
Phone (929) 335-0400

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.bipadcenter.com
CONNECT URL www.bipadcenter.com

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

LicenseStateTypeSpecialty
C50548NYMDPedorthist

Practice roles

OrganizationSpecialtyStatusNew patients
Bipad Footcare Center LLC Pedorthist CurrentSince Aug 29, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1801464003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16310 89TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325006",
            "telephone_number": "929-335-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16310 89TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325006",
            "telephone_number": "929-335-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLAH",
        "first_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NY",
            "license": "C50548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bipadcenter.com",
            "affiliation": "N",
            "address_1": "16310 89th Ave",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114325006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bipadcenter.com",
            "affiliation": "N",
            "address_1": "16310 89th Ave",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114325006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.