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WASIF E ISLAM
NPI 1417538364
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 20, 2021PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2023, Apr 20, 2021 (2 updates tracked since 2021).

About Wasif E Islam NPPES

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

WASIF E ISLAM (NPI 1417538364) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417538364
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWASIF E ISLAM
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateApril 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
✔ NPI 1417538364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

20 YORK ST, New Haven, CT 06510
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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)

Wasif E Islam 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 20

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

MELIH ARICI MD
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7998
DAVID CHRISTOPHER CONE MD
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222
KEVIN JOHN BURNS PA C
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222
MAURICE J MAHONEY MD
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2660
MARGRETTA R SEASHORE MD
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2660
PAUL HENRI DESAN MD
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2619
LIVA ANDREJEVA-WRIGHT MD
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2433
KELLY ANNETTE MARTENS PA C
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222

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 Wasif Islam's NPI number?

The NPI number for Wasif Islam is 1417538364. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Wasif Islam located?

Wasif Islam practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Wasif Islam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wasif Islam enrolled in Medicare?

Yes. Wasif Islam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wasif Islam was last updated on April 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.