Organization Active NPI

Nabil N. Abdelmalak & Mary S. Tawfik, Physicians, P.C.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1063562619
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NABIL N. ABDELMALAK & MARY S. TAWFIK, PHYSICIANS, P.C.
Practice address
1725 E 12TH St
Suite 202
Brooklyn, NY 11229-1028
Phone
(718) 265-5858
NPI assigned
Jan 12, 2007
Organization subpart
Yes
Parent organization
NABIL N. ABDELMALAK & MARY S. TAWFIK, PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Nabil N Abdelmalak, M.D.
Title
Owner
Phone
(718) 982-8074

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1725 E 12TH St
Suite 202
Brooklyn, NY 11229-1028

Mailing address

PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035

Other identifiers 1

IdentifierTypeStateIssuer
02842377MedicaidNY

National Provider Directory

National Provider Directory
Part of
Nabil N Abdelmalak Mary S Tawfik Physicians PC

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1063562619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 12TH ST",
            "address_2": "SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291028",
            "telephone_number": "718-265-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABIL N. ABDELMALAK & MARY S. TAWFIK, PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NABIL N. ABDELMALAK & MARY S. TAWFIK, PHYSICIANS, P.C.",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ABDELMALAK",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-982-8074",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02842377",
            "state": "NY"
        }
    ],
    "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 Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.