Individual provider Active NPI

Abdul Wahid, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1881635498
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229604 Issued in NY
Practice address
555 Rockaway Pkwy
Brooklyn, NY 11212-3132
Phone
(718) 240-6960
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229604 NY Primary

Addresses

Primary practice location

555 Rockaway Pkwy
Brooklyn, NY 11212-3132

Mailing address

8906 135TH St
7L
Jamaica, NY 11418-2834

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
I20070202000347 NY Practitioner - Internal Medicine 1951303007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8675 Bay Pkwy
Brooklyn, NY 11214-4186
Phone (718) 331-0044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229604NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wahid Medical Care, P.C CurrentSince Feb 10, 2016 Accepting new patients
TJH Medical Services, P.C. Internal Medicine Past Accepting new patients

Locations

1435 86th St
Ste 2
Brooklyn, NY 11228
Phone (718) 331-0044

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBDGBA/Endpoint/CBDGBA

Organizations & group practices 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1881635498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "address_2": "7L",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123132",
            "telephone_number": "718-240-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHID",
        "first_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.