Individual provider Active NPI

Karam Alfonse Nashed, DDS

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1881782134
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043267 Issued in NY
Practice address
14330 Roosevelt Ave Apt 1D
Flushing, NY 11354-6119
Phone
(718) 353-9191
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043267 NY Primary

Addresses

Primary practice location

14330 Roosevelt Ave Apt 1D
Flushing, NY 11354-6119

Mailing address

14330 Roosevelt Ave Apt 1D
Flushing, NY 11354-6119
Phone (718) 353-9191

Other identifiers 1

IdentifierTypeStateIssuer
01453901MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218001787 NY Order and Referring Only - DentistPractitioner - Dentist 1850692781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043267NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1881782134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 ROOSEVELT AVE APT 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546119",
            "telephone_number": "718-353-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 ROOSEVELT AVE APT 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546119",
            "telephone_number": "718-353-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHED",
        "first_name": "KARAM",
        "middle_name": "ALFONSE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01453901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.