Organization Active NPI

Ny Northeast Medical Care PLLC

  • Cardiovascular Disease Physician
  • Islandia, NY
National Provider Identifier
1942081633
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NY NORTHEAST MEDICAL CARE PLLC
Practice address
1797 Veterans Memorial Hwy Ste 1a
Islandia, NY 11749-1537
Phone
(631) 413-4765
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Ahmed Faraz Aslam, MD
Title
MD
Phone
(347) 480-5287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1797 Veterans Memorial Hwy Ste 1a
Islandia, NY 11749-1537

Mailing address

1797 Veterans Memorial Hwy Ste 1a
Islandia, NY 11749-1537
Phone (631) 413-4765

National Provider Directory

National Provider Directory

Locations

1797 Veterans Memorial Hwy
Ste 1A
Islandia, NY 11749
Phone (631) 413-4765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1942081633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 VETERANS MEMORIAL HWY STE 1A",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491537",
            "telephone_number": "631-413-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 VETERANS MEMORIAL HWY STE 1A",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491537",
            "telephone_number": "631-413-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY NORTHEAST MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "AHMED FARAZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-480-5287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.