MOINUDDIN AHMED NPI 1255325346

NPI Information

NPI: 1255325346
Provider Name: MOINUDDIN AHMED
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address: 123 PIKE ST
SUITE 207
PORT JERVIS, NY
ZIP 12771
Phone: (845) 856-2244

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NPI Details

MOINUDDIN AHMED is an internal medicine in Port Jervis, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MOINUDDIN AHMED NPI is 1255325346. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

123 PIKE ST
SUITE 207
PORT JERVIS, NY
ZIP 12771-824
Phone: (845) 856-2244
Fax: (845) 856-1166

The provider's authorized official is Judy Landers .
The authorized official title is Office Mgr and has the following contact phone number (845) 856-2244.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	60211958	NEW YORK	No
2	207R00000X	Internal Medicine		60211958	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02062875	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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