Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessamine Fazli-Ahmed, MD

Individual provider Psychiatry Physician · NPI 1750967410

Jessamine Fazli-Ahmed, MD is a Psychiatry in New York, New York. Qualified in 2021, 5 years ago. Works from 4 locations. Licensed in North Carolina, New York and South Carolina.

Years since qualifying
5
Licensed in
NC, NY, SC
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone: (833) 351-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 15000 Weston Pkwy Ofc 171, Cary, NC 27513-2118 — (833) 351-8255
  • 1090 Amsterdam Ave Fl 16, New York, NY 10025-1737 — (212) 523-5194
  • 900 Trail Ridge Rd Fl 1, Aiken, SC 29803-7765 — (833) 351-8255

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 321568 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 96607 (SC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2026-03056 (NC)

Record details

NPI number1750967410
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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