Individual provider Active NPI

Mahidul Chowduary, MD

  • Internal Medicine Physician
  • Hempstead, NY
National Provider Identifier
1962063255
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31866701 Issued in NY
Practice address
1 Fulton Ave Ste 12a
Hempstead, NY 11550-3648
Phone
(718) 212-0000
Fax
(929) 822-7518
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31866701 NY Primary

Addresses

Primary practice location

1 Fulton Ave Ste 12a
Hempstead, NY 11550-3648

Mailing address

1 Fulton Ave Ste 12a
Hempstead, NY 11550-3648
Phone (718) 212-0000

Other practice location 1

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Other practice location 2

16710 Highland Ave
Jamaica, NY 11432-2626
Phone (718) 212-0000

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
I20221003001754 NY Practitioner - Internal Medicine 1052797891 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

1 Fulton Ave
Suite 12a
Hempstead, NY 11550-3648
Phone (718) 212-0000

835 Herkimer St
Brooklyn, NY 11233-3031
Phone (718) 221-2600

Hospital & facility affiliations

  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233
  • Oxford Nursing Home Nursing home, Brooklyn, NY, CCN 335163
  • Crown Heights Center for Nursing and Rehabilitatio Nursing home, Brooklyn, NY, CCN 335609
  • Brooklyn Gardens Nursing & Rehabilitation Center Nursing home, Brooklyn, NY, CCN 335070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31866701NYMDInternal Medicine Physician

Practice roles (12 of 16)

OrganizationSpecialtyStatusNew patients
24 On Physicians, P.C. CurrentSince Sep 1, 2023 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Feb 8, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Feb 8, 2023 Accepting new patients
Parkway Preventive Medical Care PLLC CurrentSince Jul 1, 2024 Accepting new patients
Primary Care Medical PLLC Internal Medicine CurrentSince Jun 29, 2024 Accepting new patients
24 On Physicians, PC CurrentSince Sep 1, 2023 Accepting new patients
Hot Physician PC CurrentSince Jun 29, 2024 Accepting new patients
St. Marks Brooklyn Associates LLC Past Accepting new patients
Oxford Nursing Home, Inc Past Accepting new patients
Providence Care Inc Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients

Locations

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

835 Herkimer St
Brooklyn, NY 11233
Phone (718) 221-2600

4303 14th Ave
Brooklyn, NY 11219
Phone (718) 436-7800

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1 Fulton Ave
Ste 12A
Hempstead, NY 11550
Phone (516) 280-6492

Networks

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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1962063255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE STE 12A",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503648",
            "telephone_number": "718-212-0000",
            "fax_number": "929-822-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE STE 12A",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503648",
            "telephone_number": "718-212-0000",
            "fax_number": "929-822-7518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-613-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16710 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114322626",
            "country_code": "US",
            "telephone_number": "718-212-0000",
            "fax_number": "929-822-7518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDUARY",
        "first_name": "MAHIDUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "31866701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.