American Muslim Social Services Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AMERICAN MUSLIM SOCIAL SERVICES INC

Practice address

588 Wilma St
Longwood, FL 32750-5146

Phone

(321) 356-3058

Fax

(407) 588-0515

NPI assigned

May 2, 2020

Organization subpart

No

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

Authorized official

Name

Atif Fareed

Title

Executive Director

Phone

(321) 356-3058

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588377600000",
    "number": "1891316675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 WILMA ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505146",
            "telephone_number": "321-356-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 WILMA ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505146",
            "telephone_number": "321-356-3058",
            "fax_number": "407-588-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MUSLIM SOCIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A",
        "authorized_official_last_name": "FAREED",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-356-3058"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Longwood, FL
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.