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

Mosammat Ireen Alam

Individual provider Physician Assistant · NPI 1316645765

Mosammat Ireen Alam is a Physician Assistant in Jamaica, New York. Qualified in 2023, 3 years ago. Practices with Modern Physician Services PC, a 53-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

9420 Guy R Brewer Blvd
Jamaica, NY 11451-0001
Phone: (718) 262-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 029702-01 (NY)

Record details

NPI number1316645765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing address9420 Guy R Brewer Blvd, Jamaica, NY 11451-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Modern Physician Services Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Jamaica