MEDICARE: MASOOM QADEER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	197780	NY
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	197780	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144265760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MASOOM QADEER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2661
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-0515
Country	:	US
Telephone Number	:	631-281-7246
Fax Number	:	631-629-4477

Provider Business Practice Location Address
First Line	:	1755 DEER PARK AVE
Second Line	:
City	:	DEER PARK
State	:	NY
Zip	:	11729-5207
Country	:	US
Telephone Number	:	631-281-7246
Fax Number	:	631-629-4477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	03/11/2014

Similar Medicare Providers

1487670105 — DR. JAY I STARR MD
Practice Location Address:

1755 DEER PARK AVE
DEER PARK, NY
11729-5207

Practice Phone: 631-667-0388
Practice Fax: 631-254-3028

1528877214 — ALAM MEDICAL, PC
Practice Location Address:

1755 DEER PARK AVE
DEER PARK, NY
11729-5207

Practice Phone: 917-280-7656
Practice Fax:

1033369673 — DR. BARRY GOLDBERG MD
Practice Location Address:

517 DEER PARK RD
DIX HILLS, NY
11746-5207

Practice Phone: 631-423-9100
Practice Fax:

1447572938 — GINA ANDERSON RN
Practice Location Address:

527 DEER PARK RD
DIX HILLS, NY
11746-5207

Practice Phone: 631-654-0789
Practice Fax:

1083929467 — MS. MARINA ANNE SMITH PTA
Practice Location Address:

507 DEER PARK RD
DIX HILLS, NY
11746-5207

Practice Phone: 631-549-4900
Practice Fax:

1679068829 — JESSICA ANNE RANDALL MA, CCC-SLP, TSSLD
Practice Location Address:

507 DEER PARK RD
DIX HILLS, NY
11746-5207

Practice Phone: 631-549-4900
Practice Fax:

Directions to “ MASOOM QADEER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.