Organization Active NPI

Mohammed H Idris, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Babylon, NY
National Provider Identifier
1912058371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MOHAMMED H IDRIS, MD
Practice address
393 Sunrise Hwy
Suite 7
West Babylon, NY 11704-5909
Phone
(516) 582-8356
NPI assigned
Jan 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohammed H Idris, MD
Title
MD
Phone
(516) 582-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

393 Sunrise Hwy
Suite 7
West Babylon, NY 11704-5909

Mailing address

27 Balfour Dr
Bethpage, NY 11714-5527

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912058371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BALFOUR DR",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY",
            "address_2": "SUITE 7",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045909",
            "telephone_number": "516-582-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED H IDRIS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IDRIS",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-582-8356",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.