Individual provider Active NPI

Tahsin Kazi-Islam

  • Registered Dietitian
  • Kew Gardens, NY
National Provider Identifier
1922524677
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
008797 Issued in NY
Practice address
41 Kew Gardens Rd
Apt 5E
Kew Gardens, NY 11415
Phone
(917) 456-2389
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 008797 NY Primary

Addresses

Primary practice location

41 Kew Gardens Rd
Apt 5E
Kew Gardens, NY 11415

Mailing address

41 Kew Gardens Rd Apt 5E
Kew Gardens, NY 11415-1112
Phone (917) 456-2389

Other names 1

  • Tahsin Kazi Professional name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922524677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 KEW GARDENS RD APT 5E",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151112",
            "telephone_number": "917-456-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 KEW GARDENS RD",
            "address_2": "APT 5E",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "917-456-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZI-ISLAM",
        "first_name": "TAHSIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAHSIN",
            "last_name": "KAZI",
            "credential": "MS, RDN, CDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.