Active NPI
Nevin Mahmoud
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1053685016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021403-1
- Practice address
- 1031 59TH St
Brooklyn, NY 11219-4825 - Phone
- (718) 438-3230
- NPI assigned
- Mar 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021403-1 | NY | Primary |
Addresses
Primary practice location
1031 59TH St
Brooklyn, NY 11219-4825
Mailing address
502 Steuben St
Staten Island, NY 10305-2720
Phone (718) 720-1006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021403-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1053685016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 STEUBEN ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052720",
"telephone_number": "718-720-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 59TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194825",
"telephone_number": "718-438-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUD",
"first_name": "NEVIN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021403-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.