MR. MUDASSER RAFIQ JAVED (NPI# 1205287893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205287893 |
| Entity Type | Individual |
| Full Name | MR. MUDASSER RAFIQ JAVED |
| Credential | DPM |
| Practice Address |
6 Technology Dr Ste 100 East Setauket NY 11733 |
| Mailing Address |
6 Technology Dr Ste 100 East Setauket NY 11733-4079 |
| Practice Telephone | 6316896698 |
| Practice Fax Number | 6317515548 |
| Mailing Telephone | 6316896698 |
| Mailing Fax Number | 6317515548 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
007021N | NY | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Montauk Hwy, West Islip, NY 117954927 | 6313764163 |
| Street Address |
6 TECHNOLOGY DR STE 100 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599815 | Matthew P Vetrano | Emergency Medicine | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2006-02-23 |
| 1548822091 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Durable Medical Equipment & Medical Supplies | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2019-07-05 |
| 1225593809 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2019-02-07 |
| 1881163731 | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2018-11-21 |
| 1952891558 | Ramina Roshan | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2018-05-18 |
| 1336509553 | Ryan Hofmann | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2016-03-01 |
| 1629474739 | Heather Ann Vulpis | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2014-11-17 |
| 1063840866 | David Christopher Cesarino | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2013-10-15 |
| 1427484971 | Lance William Perez | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2013-09-16 |
| 1265773097 | Timothy Lozier | Physician Assistant | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2013-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on MR. MUDASSER RAFIQ JAVED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.