Provider Demographics
NPI:1649342114
Name:BASIR, RIYAD J (MD)
Entity type:Individual
Prefix:DR
First Name:RIYAD
Middle Name:J
Last Name:BASIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:56 BARNUM AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5234
Mailing Address - Country:US
Mailing Address - Phone:516-754-8913
Mailing Address - Fax:718-579-4993
Practice Address - Street 1:234 E 149TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-4830
Practice Address - Fax:718-579-4836
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY187417207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01496868Medicaid
NYG00506Medicare UPIN
NY28J87Medicare ID - Type Unspecified