Magdolin Mishel Samy Saad Shenouda, PT, DPT, PH.D.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01735200 Issued in NJ

Practice address

317 Avenue C
Bayonne, NJ 07002-1400

Phone

(201) 380-6385

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caremax for Physical Therapy and Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Bayonne, NJ
  • NPI 1730758988

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Saddle River, NJ
  • NPI 1689022295
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1043892896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PARKSIDE LN",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021603",
            "telephone_number": "120-138-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021400",
            "telephone_number": "201-380-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOUDA",
        "first_name": "MAGDOLIN",
        "middle_name": "MISHEL SAMY SAAD",
        "credential": "PT, DPT, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01735200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "317 Avenue C",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070021400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Noel Sharp, M.A., CCC-SLP
• Andrew Shehata, DO
• Sandy Shehata, MA, LAC
• Muhammad Bilal Sheikh, PHARMD
• Ashraf Shenouda
• Sara Shi, DO
• Eunjung Shim, DMD, MDS
• Javad Shirvanian, MD
• Shop Fusion, Inc
• David Shor, LCSW

• Physical Therapist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.