Mohammad M. Iqbal

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

239357 Issued in NY

Practice address

3070 Belgium Rd
Upstate Psychiatric Care
Baldwinsville, NY 13027-9239

Phone

(315) 402-2066

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Psychiatry Faculty Practice, Inc.

  • Psychiatry Physician
  • Syracuse, NY
  • NPI 1881084820
  Medicare reassignment NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1952497273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 ROYAL SCARLET DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278942",
            "telephone_number": "315-635-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 BELGIUM RD",
            "address_2": "UPSTATE PSYCHIATRIC CARE",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279239",
            "telephone_number": "315-402-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MOHAMMAD",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "239357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Hoyt
• Heather A Hudson, RD
• Jeffrey M Hughes, MD
• Rochelle Marie Hummel, R.D., CDN
• Shawn Leann Inman Praxl, R.N.
• Kerry Irwin, OTR/L
• Sarah Louise Isbell
• Horace Spencer Ivey, LCSW-R
• Shekinah R Jackson, LPN
• Grace Jacobs

• Psychiatry Physician in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.