Individual provider Active NPI

Mohamed Hassan Basiouny Hablas

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1053770610
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037478 Issued in NY
Practice address
10 Vista Ave
Staten Island, NY 10304-3017
Phone
(929) 888-1727
NPI assigned
Feb 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037478 NY Primary

Addresses

Primary practice location

10 Vista Ave
Staten Island, NY 10304-3017

Mailing address

502 Steuben St
Staten Island, NY 10305-2720
Phone (929) 888-1727

Other practice location 1

225 Bay 44th St Fl 3
Brooklyn, NY 11214-6706
Phone (929) 888-1727

Other practice location 2

225 Bay 44th St Fl 3
Brooklyn, NY 11214-6706
Phone (929) 888-1727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001977 NY Practitioner - Physical Therapist in Private Practice 6709183510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7907 Metropolitan Ave
Middle Village, NY 11379-2930
Phone (929) 532-2090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037478NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pyramid Care PT PC Physical Therapist Current Accepting new patients
Outreach Manual Physical Therapy PC Physical Therapist CurrentSince Jun 8, 2016 Accepting new patients
Hablas Care PT PC Physical Therapist Current Accepting new patients
Vista Care PT PC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients

Locations

60 Belmont Ave
Brooklyn, NY 11212
Phone (718) 684-3319

358 Neptune Ave
Fl 6
Brooklyn, NY 11235
Phone (347) 326-3990

7907 Metropolitan Ave
Middle Vlg, NY 11379
Phone (347) 286-1383

10234 Atlantic Ave
Ozone Park, NY 11416
Phone (347) 480-5287

1192 Hylan Blvd
Staten Island, NY 10305

68 S Central Ave
Valley Stream, NY 11580
Phone (516) 825-1112

9322 Jamaica Ave
#2
Woodhaven, NY 11421
Phone (718) 719-2076

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1053770610",
    "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": "929-888-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VISTA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043017",
            "telephone_number": "929-888-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Bay 44th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112146706",
            "country_code": "US",
            "telephone_number": "929-888-1727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Bay 44th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112146706",
            "country_code": "US",
            "telephone_number": "929-888-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABLAS",
        "first_name": "MOHAMED",
        "middle_name": "HASSAN BASIOUNY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.