MEHRAB TAUSIF ISLAM (NPI# 1730747767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730747767 |
| Entity Type | Individual |
| Full Name | MEHRAB TAUSIF ISLAM |
| Credential | MD |
| Practice Address |
222 Station Plaza North Suite 509 Mineola NY 11501 |
| Mailing Address |
561 10th Ave Apt 12d New York NY 10036-3049 |
| Practice Telephone | 5166632381 |
| Mailing Telephone | 9174957722 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
222 STATION PLAZA NORTH SUITE 509 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249501 | Ralph K Della Ratta | Internal Medicine | 222 Station Plaza North, Suite 310, Mineola, NY 11501 | 2006-01-10 |
| 1235691353 | Stephanie Kong | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2019-04-05 |
| 1811427669 | Samira A Chowdhury | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509winthrop-university Hospital, Mineola, NY 11501 | 2017-06-14 |
| 1033561816 | Alexander Le | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2016-07-06 |
| 1871942185 | Marta Wioleta Wronska | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2016-06-07 |
| 1033592712 | Sanhita Reddy | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2015-06-30 |
| 1407129869 | Jonah Feldman | Internal Medicine | 222 Station Plaza North, Suite 310, Mineola, NY 11501-3808 | 2012-02-15 |
| 1659690972 | Dolorita De Jesus | Nurse Practitioner | 222 Station Plaza North, Suite 428, Mineola, NY 11501 | 2010-05-26 |
| 1174736037 | Maryann Harding | Social Worker | 222 Station Plaza North, Suite 611, Mineola, NY 11561-3813 | 2007-05-08 |
| 1821112228 | Winthrop Pulmonary Associates PC | Internal Medicine | 222 Station Plaza North, Suite 400, Mineola, NY 11501 | 2007-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1861013005 | Sanjeev Baldeo | Student in an Organized Health Care Education/Training Program | 222 Station Rd Ste 305, Mineola, NY 11501-3893 | 2020-04-28 |
| 1841821881 | Erek Jourdan Lucio | Student in an Organized Health Care Education/Training Program | 465 Jefferson Pl, Mineola, NY 11501-2215 | 2020-01-29 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1700447984 | Nikita Gill | Student in an Organized Health Care Education/Training Program | 101 Jackson Ave Apt 4j, Mineola, NY 11501-2724 | 2019-06-27 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235691544 | Tania Gennell | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 300, Mineola, NY 11501-3893 | 2019-04-04 |
| 1609338292 | Nicolas Gillingham | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Fl 5, Mineola, NY 11501-3800 | 2019-04-02 |
| 1134615883 | Marie Anne Christine Buteau | Student in an Organized Health Care Education/Training Program | 259 1st St Ste 509, Mineola, NY 11501-3957 | 2018-07-05 |
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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.