| Dr Tahsin Mustaque, MD | |
|
327 Beach 19th St, Far Rockaway, NY 11691-4423 | |
| (718) 869-7000 | |
| (718) 869-7940 |
| Full Name | Dr Tahsin Mustaque |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 327 Beach 19th St, Far Rockaway, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295180016 | NPI | - | NPPES |
| 07426704 | Medicaid | NY | |
| 200060916 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2019024565 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2019024565 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 317062 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St John's Episcopal Hospital At South Shore | Far rockaway, NY | Hospital |
| Jamaica Hospital Medical Center | Jamaica, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physicians Pc | 5698688141 | 239 |
| Tjh Medical Services Pc | 8527960533 | 196 |
| Entity Name | Tjh Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578781787 PECOS PAC ID: 5698688141 Enrollment ID: O20070815000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tahsin Mustaque, MD 660 S Euclid Ave, Cb 8058, Saint Louis, MO 63110-1010 Ph: (314) 362-1700 | Dr Tahsin Mustaque, MD 327 Beach 19th St, Far Rockaway, NY 11691-4423 Ph: (718) 869-7000 |
Daniel Buff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th Street, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Dr. Albert Baravarian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 Fax: 718-327-3294 | |
Mohammad Rao, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7672 | |
Dr. Olutayo Olaide Olasupo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 Fax: 718-327-3294 | |
Israel Brafman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1159 Beach 9th Street, Far Rockaway, NY 11691 Phone: 718-471-2455 | |
Christopher Emovon, Internal Medicine Medicare: Medicare Enrolled Practice Location: 529 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-7307 | |
Dr. Marie Aurore Felix, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1311 Virginia St, Far Rockaway, NY 11691 Phone: 718-327-2909 |