Active NPI
Yakeen Dinmahamad
- Specialist
- South Ozone Park, NY
National Provider Identifier
1922497106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 910955151
- Practice address
- 11144 117TH St
South Ozone Park, NY 11420-1217 - Phone
- (917) 509-6819
- NPI assigned
- Jan 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 910955151 | NY | Primary |
Addresses
Primary practice location
11144 117TH St
South Ozone Park, NY 11420-1217
Mailing address
11144 117TH St
South Ozone Park, NY 11420-1217
Phone (917) 509-6819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 910955151 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1922497106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11144 117TH ST",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114201217",
"telephone_number": "917-509-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11144 117TH ST",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114201217",
"telephone_number": "917-509-6819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINMAHAMAD",
"first_name": "YAKEEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "910955151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.