Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anum Mahmood, RPA-C

Individual provider Physician Assistant · NPI 1427725936

Anum Mahmood, RPA-C is a Physician Assistant in Lake Grove, New York. Qualified in 2021, 5 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4 Smith Haven Mall
Lake Grove, NY 11755-1219
Phone: (631) 444-1993
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1427725936
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lake Grove