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FAWAD HASSAN VIQAR PHD
NPI 1396499141
Clinical Neuropsychologist in Lake Grove, NY

Active since February 10, 2022PECOS Enrolled
4 SMITH HAVEN MALL STE 107, LAKE GROVE, NY 11755(631) 444-8053(631) 444-4267 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Feb 10, 2022 (2 updates tracked since 2022).

About Fawad Hassan Viqar Phd NPPES

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

FAWAD HASSAN VIQAR PHD (NPI 1396499141) is an individual clinical neuropsychologist in Lake Grove, New York, licensed in New York (024506) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396499141
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameFAWAD HASSAN VIQARCredential: PHD
Location Address4 SMITH HAVEN MALL STE 107Lake Grove, NY 11755-1219
Mailing Address120 Harrison DrCenterport, NY 11721-1306 · (718) 309-5815
Phone(631) 444-8053
Fax(631) 444-4267
Sole ProprietorYes
Enumeration DateFebruary 10, 2022
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1396499141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 024506
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 024506 (NY)
4 SMITH HAVEN MALL STE 107, Lake Grove, NY 11755
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fawad Hassan Viqar Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

DR. ELTONNELLE JAMES
Clinical Neuropsychologist
4 SMITH HAVEN MALL STE 107
LAKE GROVE, NY 11755
Suffolk County (631) 444-8053
DR. KELLY COULEHAN CROTTY PHD
Psychologist (Clinical)
4 SMITH HAVEN MALL STE 107
LAKE GROVE, NY 11755
Suffolk County (646) 580-5107

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 Fawad Viqar's NPI number?

The NPI number for Fawad Viqar is 1396499141. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Fawad Viqar located?

Fawad Viqar practices at 4 Smith Haven Mall Ste 107, Lake Grove, NY 11755. The listed phone number is (631) 444-8053.

What is Fawad Viqar's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Fawad Viqar enrolled in Medicare?

Yes. Fawad Viqar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fawad Viqar was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.