Ali Kassem, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

475 Seaview University, Staten Island, New York
Staten Island University Hospital, Department of Intern
Staten Island, Nyc, NY 10305

Phone

(718) 226-8855

NPI assigned

Apr 22, 2020

Reactivated

Feb 8, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Critical Care (Intensivists)

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1003436783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW UNIVERSITY, STATEN ISLAND, NEW YORK",
            "address_2": "STATEN ISLAND UNIVERSITY HOSPITAL, DEPARTMENT OF INTERN",
            "city": "STATEN ISLAND, NYC",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW UNIVERSITY, STATEN ISLAND, NEW YORK",
            "address_2": "STATEN ISLAND UNIVERSITY HOSPITAL, DEPARTMENT OF INTERN",
            "city": "STATEN ISLAND, NYC",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEM",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "deactivation_date": "2022-01-10",
        "reactivation_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Leonard Montanti, MD

• Student in an Organized Health Care Education/Training Program in Staten Island, Nyc, NY
• Providers in Staten Island, Nyc, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.