Individual provider Active NPI

Mehreen Haqqie, M.D.

  • Family Medicine Physician
  • Astoria, NY
National Provider Identifier
1912210568
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
273107 Issued in NY
Practice address
4101 30TH Ave
Astoria, NY 11103-2908
Phone
(718) 204-9886
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT196664 PA
Family Medicine Physician 207Q00000X 273107 NY Primary

Addresses

Primary practice location

4101 30TH Ave
Astoria, NY 11103-2908

Mailing address

4101 30TH Ave
Astoria, NY 11103-2908
Phone (718) 204-9886

Other practice location 1

2830 Easton Ave
Bethlehem, PA 18017-4204
Phone (610) 954-3555

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140319000256 NY Practitioner - Family Practice 1951532811 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT196664PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 13, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Feb 13, 2014 Accepting new patients
New York University CurrentSince Jun 1, 2017 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 23, 2017 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 23, 2017 Accepting new patients
New York University CurrentSince Jun 1, 2017 Accepting new patients

Locations

4101 30th Ave
Astoria, NY 11103
Phone (718) 204-9886

111 E 210th St
Bronx, NY 10467

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1912210568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032908",
            "telephone_number": "718-204-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032908",
            "telephone_number": "718-204-9886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180174204",
            "country_code": "US",
            "telephone_number": "610-954-3555",
            "fax_number": "610-954-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQQIE",
        "first_name": "MEHREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT196664",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "273107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.