Individual provider Active NPI

Ahmed Mohammed Moamen Ghanem

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1063832368
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035568-1 Issued in NY
Practice address
503 5TH Ave
Brooklyn, NY 11215-4811
Phone
(718) 254-0182
NPI assigned
Apr 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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 035568-1 NY Primary

Addresses

Primary practice location

503 5TH Ave
Brooklyn, NY 11215-4811

Mailing address

8535 58TH Ave
Elmhurst, NY 11373-4811
Phone (929) 333-0369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427000032 NY Practitioner - Physical Therapist in Private Practice 6103145172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands of Hope PT P.C.Group PAC ID 8022323781, 16 clinicians

Practice addresses (Care Compare)

1021 Bedford Ave
Brooklyn, NY 11205-5263
Phone (929) 480-0783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035568-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Hands of Hope PT PC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Kinova Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

8009 5th Ave
Brooklyn, NY 11209
Phone (718) 748-0513

847 Atlantic Ave
Brooklyn, NY 11238
Phone (678) 272-1829

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

8003 211th St
Queens Vlg, NY 11427
Phone (718) 464-8948

1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 238-6161

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1063832368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734811",
            "telephone_number": "929-333-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154811",
            "telephone_number": "718-254-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "AHMED",
        "middle_name": "MOHAMMED MOAMEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035568-1",
            "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 Apr 24, 2014; 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.