NPIMap

Individual provider Active NPI

Mohammud Alam, M.D.

  • Infectious Disease Physician
  • Amityville, NY
National Provider Identifier
1881601052
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
230277 Issued in NY
Practice address
333 Broadway
Amityville, NY 11701-2719
Phone
(631) 789-2020
NPI assigned
Aug 1, 2006
Last updated
Feb 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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 230277 NY Primary

Addresses

Primary practice location

333 Broadway
Amityville, NY 11701-2719

Mailing address

333 Broadway
Amityville, NY 11701-2719
Phone (631) 789-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000263 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 3971495821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cordial Medical PCGroup PAC ID 6800158817, 3 clinicians

Practice addresses (Care Compare)

100 Broadhollow Rd
Suite 106
Farmingdale, NY 11735-4813
Phone (631) 693-6644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cordial Medical, P.C. Infectious Disease CurrentSince Feb 1, 2018 Accepting new patients
Quantum Rehabilitation and Nursing LLC Past Accepting new patients
Mlap Acquisition I, LLC Past Accepting new patients
Forest Manor Care Center Inc Past Accepting new patients
Excel at Woodbury for Rehabilitation and Nursing LLC Past Accepting new patients
Northwell Health Stern Family Center for Rehabilitation Past Accepting new patients
Nesconset Operating LLC Past Accepting new patients
Cardiff Bay Center LLC Past Accepting new patients
East Northport Residential Health Care Facility, Inc Past Accepting new patients
South Shore Rehabilitation, LLC Past Accepting new patients
Grandell Rehab & Nursing Ctr Inc Past Accepting new patients

Locations

100 Broadhollow Rd
Ste 106
Farmingdale, NY 11735
Phone (631) 693-6644

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quantum Rehabilitation and Nursing LLCMiddle Island, NY, CCN 335719 Skilled nursing facility Contracted Managing Employee Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1881601052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MOHAMMUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "230277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.