1982665311 NPI number — AHMED F ASLAM MD

Table of content: AHMED F ASLAM MD (NPI 1982665311)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982665311 NPI number — AHMED F ASLAM MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASLAM
Provider First Name:
AHMED
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982665311
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
945 CONEY ISLAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11230-1401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-513-1782
Provider Business Mailing Address Fax Number:
718-513-0228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 1ST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-6402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-5656
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  250017 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0011X , with the licence number: 250017 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 35750065 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00242169 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 213703 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 96837302 . This is a "AHCCCS" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: NM009P60 . This is a "BCBS" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 96837301 . This is a "AHCCCS" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".




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