Healthcare Provider Details

I. General information

NPI: 1316125438
Provider Name (Legal Business Name): SHAIKH JAUHAR AHMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7405 101ST AVE
OZONE PARK NY
11416-1026
US

IV. Provider business mailing address

7405 101ST AVE
OZONE PARK NY
11416-1026
US

V. Phone/Fax

Practice location:
  • Phone: 929-398-3331
  • Fax:
Mailing address:
  • Phone: 929-398-3366
  • Fax: 929-398-3331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number250359
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: