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Dr. Mwaffak Bashir, MD

Pediatrics in Putnam Valley, NY. Individual provider (NPI-1).

NPI number1154965622
StatusActive
Last updated in NPPESMar 6, 2023

Details

NPI
1154965622
Entity type
Individual (NPI-1)
Name
Dr. Mwaffak Bashir
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 29, 2019
Certification date
Mar 6, 2023
Last updated
Mar 6, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PEDIATRIC MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics282308NYYes
208000000X PediatricsMD61266703WA

Practice location

101 Waterside Professional Park
Putnam Valley, NY 10579-3502

Phone 914-528-7337

Mailing address

101 Waterside Professional Park
Putnam Valley, NY 10579-3502

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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