MOHAMMED KUDDUS CHISHTI (NPI# 1619535713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619535713 |
| Entity Type | Individual |
| Full Name | MOHAMMED KUDDUS CHISHTI |
| Practice Address |
10659 95th St Ozone Park NY 11417-1541 |
| Practice Telephone | 7189749998 |
| Mailing Telephone | 7189749998 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
10659 95TH ST |
| City | OZONE PARK |
| State | NY |
| Zip Code | 11417-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790101137 | Cherry Ann Montehermoso Chishti | Specialist | 10659 95th St, Ozone Park, NY 11417-1541 | 2014-03-10 |
| 1588122485 | Ascend Behavior Center Corp. | Case Management | 10659 95th St, Ozone Park, NY 11417-1541 | 2019-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757723 | Raymond Videsh Seelochan | Physician Assistant | 105-14 91st Street, Ozone Park, NY 11417 | 2020-07-21 |
| 1942778907 | All Medical Equipments Inc | Durable Medical Equipment & Medical Supplies | 10621 97th St Unit Bc, Ozone Park, NY 11417 | 2018-11-08 |
| 1871085696 | Jellybean Ei Inc. | Case Management | 13524 96th St, Ozone Park, NY 11417 | 2018-06-06 |
| 1093238180 | Goydan Pharmacy Inc | Pharmacy | 150-29 Cross Bay Blvd, Store 1, Ozone Park, NY 11417 | 2017-07-20 |
| 1326585183 | Quest Pharmacy Corp | Pharmacy | 150-29 Cross Bay Blvd Store 1, Ozone Park, NY 11417 | 2017-01-31 |
| 1609319441 | Alexandra Musacchio | Speech-Language Pathologist | 104-50 102nd St, 2e, Ozone Park, NY 11417 | 2016-11-28 |
| 1083166805 | Danielle Natman | Social Worker | 108-19 Rockaway Boulevard, Ozone Park, NY 11417 | 2016-10-27 |
| 1487018388 | Antonia Diaz | Registered Nurse | 107-46 90th Street, 2nd Floor, Ozone Park, NY 11417 | 2016-04-07 |
| 1871967901 | Ngozi Ezinne Inwelegbu | Licensed Practical Nurse | 133-25 87th Street, 2b, Ozone Park, NY 11417 | 2015-12-01 |
| 1073982815 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 92-10 Atlantic Ave, Ozone Park, NY 11417 | 2015-09-23 |
| Find all providers in zip 11417 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084616 | Jakia Ahmed | Case Manager/Care Coordinator | 10127 93rd St, Ozone Park, NY 11416-2304 | 2018-05-29 |
| 1225490154 | Engi Enany | Case Manager/Care Coordinator | 105 02 95th Avenue, 2nd Floor, Ozone Park, NY 11416 | 2016-03-21 |
| 1396117206 | Evangelina Brens | Case Manager/Care Coordinator | 8610 Atlantic Ave Apt 1r, Ozone Park, NY 11416-1324 | 2015-10-30 |
| 1750760385 | Jennifer Wu | Case Manager/Care Coordinator | 10645 96th St, Ozone Park, NY 11417-2131 | 2015-05-28 |
| 1467881888 | Lizzette Quinones | Case Manager/Care Coordinator | 9206 95th Ave, 2f, Ozone Park, NY 11416-1528 | 2013-11-06 |
| 1548505456 | Anelfi Ventura | Case Manager/Care Coordinator | 10208 81st St, Ozone Park, NY 11416-1927 | 2012-12-04 |
| 1750640835 | Sabrina M Martinez | Case Manager/Care Coordinator | 8717 97th Ave, Apt 3f, Ozone Park, NY 11416-1331 | 2012-05-10 |
| 1134763964 | Sheleta Devi Tejsingh | Case Manager/Care Coordinator | 10450 102nd St, Ozone Park, NY 11417-2237 | 2019-11-05 |
| 1932743762 | Rosmery Jaikaran | Case Manager/Care Coordinator | 10450 102nd St Apt 2e, Ozone Park, NY 11417-2204 | 2019-11-05 |
| 1851959746 | Sandia Jaikaran | Case Manager/Care Coordinator | 10450 102nd St Apt 2e, Ozone Park, NY 11417-2204 | 2019-06-05 |
| Find all providers in OZONE PARK | ||||
| City | OZONE PARK |
| Zip Code | 11417 |
Please comment or provide details below to improve the information on MOHAMMED KUDDUS CHISHTI.
| 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.