Organization Active NPI

Rafique Bhuiyan Medical P.C.

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1891090049
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258403 Issued in NY
Legal business name
RAFIQUE BHUIYAN MEDICAL P.C.
Practice address
7013 37TH Ave
Jackson Heights, NY 11372-3922
Phone
(718) 205-8700
Fax
(718) 205-8702
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Rafique Ahmed Bhuiyan, M.D.NPI 1801106695
Title
President
Phone
(718) 205-8700

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 258403 NY Primary

Addresses

Primary practice location

7013 37TH Ave
Jackson Heights, NY 11372-3922

Mailing address

7013 37TH Ave
Jackson Heights, NY 11372-3922
Phone (718) 205-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000551 NY Part B Supplier - Clinic/Group Practice 1153505839 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

7013 37th Ave
Jackson Heights, NY 11372
Phone (718) 205-8700

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": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1891090049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723922",
            "telephone_number": "718-205-8700",
            "fax_number": "718-205-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723922",
            "telephone_number": "718-205-8700",
            "fax_number": "718-205-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIQUE BHUIYAN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "BHUIYAN",
        "authorized_official_first_name": "RAFIQUE",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.