NPI 1548785777: AHMED ABBASI

AHMED ABBASI

Student in an Organized Health Care Education/Training Program in BRONX - New York

Status: Active (Since 08.09.2017) Npi: 1548785777

Information about AHMED ABBASI

AHMED ABBASI is a provider established in BRONX, New York. The practitioners primary taxonomy code is: 390200000X . The NPI number of AHMED ABBASI is 1548785777 and was assigned on 08.09.2017.

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.


Mailing address
CityBRONX
Postalcode104702104
StateNY
Telephone Number9295006523
Address340 E 236TH ST FL 2
Primary practice address
CityBRONX
Postalcode104662604
StateNew York
Phone9295006523
Address600 E 233RD ST
NPI1548785777
Provider Enumeration Date08.09.2017
Last Updated08.09.2017

Detailed Information

NPI Number 1548785777 has the "Individual". The enumeration date of this NPI Number is 08.09.2017. NPI Number information was last updated on 08.09.2017.

AHMED ABBASI - provider taxonomy: Student in an Organized Health Care Education/Training Program

Primary taxonomy (there can be only one per NPI record).
Taxonomy code 390200000X

Taxonomy description:

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.

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
NPI1548785777
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1390200000X
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.
Provider Enumeration Date08.09.2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated08.09.2017
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)AHMED ABBASI
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address340 E 236TH ST FL 2
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameBRONX
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code104702104
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9295006523
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider First Line Business Practice Location Address600 E 233RD ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBRONX
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNew York
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code104662604
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9295006523
The telephone number associated with the location address of the provider being identified.
Healthcare Provider Taxonomy Code #1390200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Student in an Organized Health Care Education/Training Program
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.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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