Mohamed Osman Ahmed
Psychiatry & Neurology, Psychiatry in Port Jefferson, NY. Individual provider (NPI-1).
NPI number1912534652
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1912534652
- Entity type
- Individual (NPI-1)
- Name
- Mohamed Osman Ahmed
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 33062101 | NY | Yes |
Practice location
75 N Country RdPort Jefferson, NY 11777-2119
Phone 631-473-1320
Mailing address
1215 Lee St Box 801210Charlottesville, VA 22908-0816
Phone 434-924-5314 · Fax 434-243-4743
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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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