Organization Active NPI

Al Afiyah Medical Care PLLC

  • Primary Care Clinic/Center
  • Jamaica, NY
National Provider Identifier
1821762584
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AL AFIYAH MEDICAL CARE PLLC
Practice address
16407 Hillside Ave
Jamaica, NY 11432-4140
Phone
(516) 563-0439
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
MD Zohirul Islam, MDNPI 1104073030
Title
President
Phone
(516) 563-0439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

16407 Hillside Ave
Jamaica, NY 11432-4140

Mailing address

71 Shrub Hollow Rd
Roslyn, NY 11576-3100
Phone (516) 563-0439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414000247 NY Part B Supplier - Clinic/Group Practice 2062808348 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

16407 Hillside Ave
Jamaica, NY 11432
Phone (516) 563-0439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1821762584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SHRUB HOLLOW RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763100",
            "telephone_number": "516-563-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16407 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "516-563-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL AFIYAH MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MD",
        "authorized_official_middle_name": "ZOHIRUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-563-0439",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.