Umme Mobassera, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

31451 Issued in ZZ

Practice address

1 Long Beach Rd
Island Park, NY 11558-2254

Phone

(516) 432-0300

NPI assigned

Feb 22, 2024

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

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Briarwood Medical Services PCGroup PAC ID 3173622594, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Nys Medical Associate PLLC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1104268572
  Medicare reassignment NPD
• Fresh Meadows Physician Practice PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1720775083
  NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1063278604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 SMITH ST APT 1C",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204308",
            "telephone_number": "215-758-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115582254",
            "telephone_number": "516-432-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15715 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113573820",
            "country_code": "US",
            "telephone_number": "718-746-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Saint Pauls Pl",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110212636",
            "country_code": "US",
            "telephone_number": "516-466-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14310 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113573046",
            "country_code": "US",
            "telephone_number": "718-961-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBASSERA",
        "first_name": "UMME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "31451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen P McGann, LCAT, ATR-BC
• Joseph Alexander Mesoraca, DPT
• Raymond Miley
• Sherley Millet, M.D.
• Kelly F Mirro
• Deborah Ann Moerck-Johnson, D.O.
• Eva Monioudis, PT, DPT
• Gina Marie Moravcik, MASLPCCC
• Matthew Moskowitz, DPT
• Mount Joy Physical Therapy, P.C.

• General Practice Physician in Island Park, NY
• Providers in Island Park, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.