DR. IMRAN SAMAD QURESHI (NPI# 1336553999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336553999 |
| Entity Type | Individual |
| Full Name | DR. IMRAN SAMAD QURESHI |
| Credential | M.D. |
| Practice Address |
375 Seguine Ave Staten Island NY 10309-3932 |
| Practice Telephone | 7182262752 |
| Mailing Telephone | 7182262752 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
292690-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467080622 | Imran Mohammed Qureshi | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 01161b, Temple, TX 76508-0001 | 2020-03-31 |
| 1487604161 | Imran Qureshi | Radiology | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2006-05-11 |
| Street Address |
375 SEGUINE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829892 | Michael Anthony Savino | Urology | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2005-08-29 |
| 1558989137 | Edison Tyli | Nurse Practitioner | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2020-07-09 |
| 1821638982 | Laticia Francis | Counselor | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2020-01-07 |
| 1013568369 | Magdalena A Lubinski | Physician Assistant | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-09-26 |
| 1013563477 | James Patrick Leahy Jr. | Registered Nurse | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-08-12 |
| 1598325748 | Marianne R Cabe | Registered Nurse | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-06-19 |
| 1609430263 | Tumika Leatrice Alston | Nurse Practitioner | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-04-29 |
| 1548726680 | Cathleen N/a Ryan | Physician Assistant | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2019-02-13 |
| 1013484898 | Junhyeok Choi | Physician Assistant | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2018-10-30 |
| 1285115568 | Benjamin George Thomas | Internal Medicine | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1285276378 | Nesconset Medical Associates Pllc | Psychiatry & Neurology | 195 Southern Blvd Ste 104, Nesconset, NY 11767-1738 | 2019-10-10 |
| 1629534474 | Priyadarshan Bajpayi, M.d. PC | Psychiatry & Neurology | 5550 Merrick Rd Ste 200, Massapequa, NY 11758-6238 | 2019-02-18 |
| 1912417106 | Miguel Calimano Md PC | Psychiatry & Neurology | 88 Terry Rd # 7, Smithtown, NY 11787-3811 | 2017-10-03 |
| 1326432238 | Kamehameha Health and Wellness Nonprofit Corporation | Psychiatry & Neurology | 3250 Weschester Avenue, Suite Ll4, Bronx, NY 10461-4548 | 2015-03-28 |
| 1518229400 | Leila Mariam Vaezazizi | Psychiatry & Neurology | 260 E 161st St # C-33, Bronx, NY 10451-3512 | 2012-06-15 |
| 1447529474 | New York Center of Addiction LLC | Psychiatry & Neurology | 506 Willis Avenue, 7th Floor, Bronx, NY 10455 | 2011-12-20 |
| 1750691457 | Apollo Neale Palomares | Psychiatry & Neurology | 78 Lafayette Ave Ste 100, Suffern, NY 10901-5551 | 2010-10-14 |
| 1144534975 | Abha Gupta | Psychiatry & Neurology | 197 Bowery, New York, NY 10002-2867 | 2010-08-04 |
| 1427379932 | Bay Shore Medical Services, P.C. | Psychiatry & Neurology | 56 W Main St # A, Bay Shore, NY 11706-8327 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.