Marwah Waheed
Physician Assistant in Coram, NY. Individual provider (NPI-1).
NPI number1831800523
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1831800523
- Entity type
- Individual (NPI-1)
- Name
- Marwah Waheed
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2022
- Certification date
- Apr 29, 2025
- Last updated
- Apr 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 032319 | NY | Yes |
Practice location
39 Samantha DrCoram, NY 11727-3070
Phone 516-590-4710
Mailing address
39 Samantha DrCoram, NY 11727-3070
Is something wrong?
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.
Other Physician Assistant providers in Coram, NY
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