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M.Q. ISLAM PHYSICIAN PLLC
NPI 1053601005
Specialist in Manhasset Hills, NY

Active since April 11, 2011
20 OLD COURTHOUSE RD, MANHASSET HILLS, NY 11040(718) 657-8525 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About M.q. Islam Physician Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M.Q. ISLAM PHYSICIAN PLLC (NPI 1053601005) is a healthcare organization registered as a specialist in Manhasset Hills, New York and active in the NPI registry since April 2011. The organization lists Mohammed Q Islam, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053601005
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameM.Q. ISLAM PHYSICIAN PLLC
Location Address20 OLD COURTHOUSE RDManhasset Hills, NY 11040-1229
Mailing Address16832 Highland AveJamaica, NY 11432-2640 · (718) 657-8525 · Fax (718) 657-8526
Phone(718) 657-8525
Organization SubpartNo
Authorized OfficialMohammed Q IslamMedical Director · (718) 657-8525
Enumeration DateApril 11, 2011
✔ NPI 1053601005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 36373
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20 OLD COURTHOUSE RD, Manhasset Hills, NY 11040
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Other Identifiers 1

Medicare UPINH61304

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS AMARA MIRZA RPH
Pharmacist
20 OLD COURTHOUSE RD
MANHASSET HILLS, NY 11040
Nassau County (347) 693-6130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M.Q. Islam Physician PLLC's NPI number?

The NPI number for M.Q. Islam Physician PLLC is 1053601005. It was assigned to this organization in the NPPES registry on April 11, 2011.

Where is M.Q. Islam Physician PLLC located?

M.Q. Islam Physician PLLC is located at 20 Old Courthouse Rd, Manhasset Hills, NY 11040. The listed phone number is (718) 657-8525.

What is M.Q. Islam Physician PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for M.Q. Islam Physician PLLC was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.