Moinuddin Ahmed
LBN: Moinuddin Ahmed
Moinuddin Ahmed is an health care organization with primary practice located at 123 Pike St Suite 207, Port Jervis NY 12771-1824. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Moinuddin Ahmed can be contacted via phone (845) 856-2244, or through Landers, Judy via phone (845) 856-2244.
Contact Information
Primary practice address
123 Pike St Suite 207
Port Jervis NY 12771-1824
Phone: (845) 856-2244
Fax: (845) 856-1166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 60211958 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 60211958 | New York |
Profile Details
| NPI number | 1255325346 |
|---|---|
| LBN Legal business name | Moinuddin Ahmed |
| DBA Doing business as | |
| Authorized official | Landers, Judy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Sep 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255325346 | NPPES |
| New York | MEDICAID | 02062875 |
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