MOINUDDIN AHMED
NPI 1255325346
Internal Medicine in Port Jervis, NY

Active since September 06, 2005
123 PIKE ST, SUITE 207, PORT JERVIS, NY 12771(845) 856-2244(845) 856-1166 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Moinuddin Ahmed NPPES

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

MOINUDDIN AHMED (NPI 1255325346) is a healthcare organization registered as an internal medicine in Port Jervis, New York and active in the NPI registry since September 2005. The organization lists Judy Landers, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1255325346
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOINUDDIN AHMED
Location Address123 PIKE ST, SUITE 207Port Jervis, NY 12771-1824
Mailing Address123 Pike St, Suite 207Port Jervis, NY 12771-1824 · (845) 856-2244 · Fax (845) 856-1166
Fax(845) 856-1166
Organization SubpartNo
Authorized OfficialJudy LandersOffice Mgr · (845) 856-2244
Enumeration DateSeptember 6, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1255325346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 60211958
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 60211958 (NY)
123 PIKE ST, Port Jervis, NY 12771

Other Identifiers 1

Medicaid02062875NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

Ophthalmology
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Pediatrics
123 PIKE ST, SUITE 209
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Internal Medicine (Pulmonary Disease)
123 PIKE ST, SUITE 207
PORT JERVIS, NY 12771
Pediatrics
123 PIKE ST, SUITE 209
PORT JERVIS, NY 12771

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 Moinuddin Ahmed's NPI number?

The NPI number for Moinuddin Ahmed is 1255325346. It was assigned to this organization in the NPPES registry on September 6, 2005.

Where is Moinuddin Ahmed located?

Moinuddin Ahmed is located at 123 Pike St Suite 207, Port Jervis, NY 12771. The listed phone number is (845) 856-2244.

What is Moinuddin Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Moinuddin Ahmed was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.