MOHAMMAD O AZAM (NPI# 1669626024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669626024 |
| Entity Type | Individual |
| Full Name | MOHAMMAD O AZAM |
| Credential | PA |
| Practice Address |
10 E Merrick Rd Suite 207 Valley Stream NY 11580-5800 |
| Practice Telephone | 5162562017 |
| Practice Fax Number | 5162562029 |
| Mailing Telephone | 5162562017 |
| Mailing Fax Number | 5162562029 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
012399 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601315 | Mohammad Umair Azam | Internal Medicine | 1120 15th St # Bi5070, Augusta, GA 30912-0004 | 2018-06-03 |
| 1285811422 | Mohammad Mukhtiar Azam | Case Management | 1660 W Mission Blvd, Pomona, CA 91766 | 2008-01-30 |
| 1831309087 | Mohammad Azam | Internal Medicine | 1268 White Plains Rd, Bronx, NY 10472-4904 | 2007-05-23 |
| 1184688541 | Mohammad Azam | Internal Medicine | 701 University Blvd E, Suite 711, Tuscaloosa, AL 35401-2086 | 2006-04-13 |
| Street Address |
10 E MERRICK RD SUITE 207 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801865852 | Yuliya Angelova | Optometrist | 10 E Merrick Rd, Suite 201, Valley Stream, NY 11580-6105 | 2006-03-14 |
| 1700422920 | Hira Mughal Iftikhar | Internal Medicine | 10 E Merrick Rd, Valley Stream, NY 11580-5800 | 2019-11-22 |
| 1316509425 | Kelsey L Jones | Optometrist | 10 E Merrick Rd, Valley Stream, NY 11580-5800 | 2019-06-28 |
| 1245753235 | Gina Bajaj | Optometrist | 10 E Merrick Rd, Valley Stream, NY 11580-5800 | 2017-07-21 |
| 1083060131 | Valley Stream Optometric Services PC | Optometrist | 10 E Merrick Rd, Suite 201, Valley Stream, NY 11580-5800 | 2016-05-09 |
| 1851532543 | David L Foster Md PC | Internal Medicine | 10 E Merrick Rd, Valley Stream, NY 11580-5800 | 2009-03-10 |
| 1417196874 | Salma Gene | Physician Assistant | 10 E Merrick Rd, Suite 207, Valley Stream, NY 11580-5800 | 2009-02-09 |
| 1952504979 | Holyspirit | Psychiatry & Neurology | 10 E Merrick Rd, Suite 205, Valley Stream, NY 11580-5800 | 2007-06-07 |
| 1174679179 | David L Foster | Internal Medicine | 10 E Merrick Rd, Suite 307, Valley Stream, NY 11580-5800 | 2007-01-25 |
| 1831277789 | Saeed A Siddiqui Cardiology PC | Internal Medicine | 10 E Merrick Rd, Suite 207, Valley Stream, NY 11580-5800 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942730296 | Nidha Azam | Physician Assistant | 880 Woodmere Dr, Valley Stream, NY 11581-2736 | 2017-06-19 |
| 1740731561 | Mubin Mohmad Hafej | Physician Assistant | 32 Westend Ave, Valley Stream, NY 11580-4833 | 2016-10-17 |
| 1053617324 | Preston Darian Totesau-johnson | Physician Assistant | 66 Fletcher Ave, Valley Stream, NY 11580-4024 | 2011-02-04 |
| 1710010434 | Janice Nichola Williams | Physician Assistant | 39 Jasper St, Valley Stream, NY 11580-1636 | 2007-03-13 |
| 1710062682 | Revathi Vijayaraghavan | Physician Assistant | 19 Darewood Ln, Valley Stream, NY 11581-2407 | 2006-10-26 |
| 1841841145 | Hannah Elizabeth Mathew | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-27 |
| 1972154565 | Karim Mohamed | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-25 |
| 1508381906 | Linda Xu | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2017-08-07 |
| 1417196874 | Salma Gene | Physician Assistant | 10 E Merrick Rd, Suite 207, Valley Stream, NY 11580-5800 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
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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.