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BASHIR AHMED, M.D. PLLC
NPI 1336552926
Family Medicine in Selden, NY

Active since June 11, 2014CLIA 33D1091619 · Waiver
1305 MIDDLE COUNTRY RD, SUITE #2, SELDEN, NY 11784(631) 320-3053 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bashir Ahmed, M.d. Pllc NPPES

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

BASHIR AHMED, M.D. PLLC (NPI 1336552926) is a healthcare organization registered as a family medicine in Selden, New York and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Bashir Ahmed, President, as its authorized official.

NPPES Registry Identity

NPI1336552926
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBASHIR AHMED, M.D. PLLC
Location Address1305 MIDDLE COUNTRY RD, SUITE #2Selden, NY 11784-2554
Mailing Address1305 Middle Country Rd, Suite #2Selden, NY 11784-2554 · (631) 320-3053 · Fax (631) 320-3054
Phone(631) 320-3053
Organization SubpartNo
Authorized OfficialBashir AhmedPresident · (631) 320-3053
Enumeration DateJune 11, 2014
Last NPPES UpdateSeptember 23, 2015
✔ NPI 1336552926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
1305 MIDDLE COUNTRY RD, Selden, NY 11784
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Other Identifiers 1

Medicare UPIN4897P1NY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1091619

Bashir Ahmed MD · Centereach, NY
Active · expires Nov 4, 2026
CLIA Number33D1091619
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorDr. Bashir Ahmed
Laboratory Phone(631) 320-3053
Laboratory LocationBashir Ahmed MD1787 Middle Country Road - Ste B, Centereach, NY 11720
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

BARABAN & BARABAN
Podiatrist
1305 MIDDLE COUNTRY RD, STE 1
SELDEN, NY 11784
Suffolk County (631) 398-2267
UNIQUEONE A. ENTERPRISE, LLC
Clinical Medical Laboratory
1305 MIDDLE COUNTRY RD
SELDEN, NY 11784
Suffolk County (929) 625-6578
MS. YOLANDA ABED LUCAS
Counselor (Mental Health)
1305 MIDDLE COUNTRY RD, SUITE 12
SELDEN, NY 11784
Suffolk County (631) 569-0473
LISA LYNN PINKA L.M.T.
Massage Therapist
1305 MIDDLE COUNTRY RD, SUITE 12
SELDEN, NY 11784
Suffolk County (631) 834-5773
DR. MICHAEL F. MARINO PH.D.
Psychologist (Clinical)
1305 MIDDLE COUNTRY RD, SUITE 7
SELDEN, NY 11784
Suffolk County (631) 220-9285
UNIKA ALECIA WILLIAMS-CRISPIN
Clinical Medical Laboratory
1305 MIDDLE COUNTRY RD
SELDEN, NY 11784
Suffolk County (207) 304-8407
BRIAN D BARABAN
Podiatrist
1305 MIDDLE COUNTRY RD, STE 1
SELDEN, NY 11784
Suffolk County (631) 698-2267
MS. KRISTEN ANDREA KUHL LMT
Massage Therapist
1305 MIDDLE COUNTRY RD
SELDEN, NY 11784
Suffolk County (631) 619-0369

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 Bashir Ahmed, M.D. PLLC's NPI number?

The NPI number for Bashir Ahmed, M.D. PLLC is 1336552926. It was assigned to this organization in the NPPES registry on June 11, 2014.

Where is Bashir Ahmed, M.D. PLLC located?

Bashir Ahmed, M.D. PLLC is located at 1305 Middle Country Rd Suite #2, Selden, NY 11784. The listed phone number is (631) 320-3053.

What is Bashir Ahmed, M.D. PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bashir Ahmed, M.D. PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1091619) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bashir Ahmed, M.D. PLLC was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.