Individual provider Active NPI

Anwar Adhami

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
National Provider Identifier
1962903153
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3611 Henry Hudson Pkwy Apt 1B
Bronx, NY 10463-1550
Phone
(630) 303-6093
NPI assigned
Feb 23, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

3611 Henry Hudson Pkwy Apt 1B
Bronx, NY 10463-1550

Mailing address

3611 Henry Hudson Pkwy Apt 1B
Bronx, NY 10463-1550

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
I20240104002637 NY Practitioner - Internal Medicine 0244681146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ilm Medical Care PLLCGroup PAC ID 2769610989, 37 clinicians
Emerson Medical Practice of Ny PCGroup PAC ID 4486164142, 11 clinicians

Practice addresses (Care Compare)

3518 Bainbridge Ave
Bronx, NY 10467-1402
Phone (718) 655-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC CurrentSince Dec 19, 2023 Accepting new patients
Emerson Medical Practice of Ny PC CurrentSince Aug 23, 2025 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

3518 Bainbridge Ave
Bronx, NY 10467
Phone (212) 410-9047

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

1050 Central Ave
Woodmere, NY 11598
Phone (516) 374-9300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1962903153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 HENRY HUDSON PKWY APT 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 HENRY HUDSON PKWY APT 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631550",
            "telephone_number": "630-303-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHAMI",
        "first_name": "ANWAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.