Individual provider Active NPI

Muhammad Haque

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1952474595
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
122027 Issued in NY
Practice address
3418 Broadway Ofc 2
New York, NY 10031-7408
Phone
(212) 283-2099
Fax
(212) 234-2939
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 122027 NY Primary

Addresses

Primary practice location

3418 Broadway Ofc 2
New York, NY 10031-7408

Mailing address

565 W 125TH St
New York, NY 10027-3424
Phone (212) 283-2099

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
I20090721000390 NY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5597817650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical Healthcare Associates PLLCGroup PAC ID 9032541768, 10 clinicians

Practice addresses (Care Compare)

3410 Broadway
Ofc 2
New York, NY 10031-7408
Phone (212) 283-2099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical Healthcare Associates PLLC CurrentSince Sep 24, 2019 Accepting new patients
Shirish Patel Medical P.C. PastSince Dec 2, 2010 Accepting new patients

Locations

2742 3rd Ave
Bronx, NY 10455
Phone (718) 576-5049

2802 Crescent St
Long Island City, NY 11102
Phone (718) 278-6666

565 W 125th St
New York, NY 10027
Phone (212) 470-1000

3418 Broadway
Ofc 2
New York, NY 10031
Phone (212) 927-0013

3410 Broadway
New York, NY 10031
Phone (201) 299-4758

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: muhammad.haque@cmhap.eclinicaldirectplus.com

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1952474595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273424",
            "telephone_number": "212-283-2099",
            "fax_number": "212-234-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 BROADWAY OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317408",
            "telephone_number": "212-283-2099",
            "fax_number": "212-234-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "122027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.