Mohammad N Ahsan, M.D.
Individual provider Active NPI Family Medicine Physician · Elmhurst, NY
NPI 1891753000 · NPPES record last updated Feb 2, 2009
Key facts
- NPI
- 1891753000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 237185 (NY)
- Practice address
- 9002 Queens Blvd
Elmhurst, NY 11373-4941 - Phone
- (718) 558-1078
- Fax
- (718) 558-3916
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060310000631 | NY | Practitioner - Family Practice | 5597772897 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237185 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current |
Accepting new patients | |
| Jamaica Hospital | Current |
Accepting new patients | |
| Caritas Emergency Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Caritas Emergency Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
Locations
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 237185 | NY | Yes |
| Emergency Medicine Physician | 207P00000X | 237185 | NY |
Addresses
Primary practice location
9002 Queens Blvd
Elmhurst, NY 11373-4941
Mailing address
9002 Queens Blvd
Elmhurst, NY 11373-4941
Phone (718) 558-1078
Other providers in Elmhurst, NY
- Nayaz Ahmed
- Shawon Ahmed
- Zia Ahmed
- Jaechol Ahn
- Paul Ahn
- Shamim A Ahsan
- Sara Aijaz
- Qurrath U Ain
- Gulzar Ajani
- Nazia Ajani
All providers in Elmhurst, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.