Active NPI
Mohamed Salah Elsayed, BACHELOR DEGREE
- Specialist
- Brooklyn, NY
National Provider Identifier
1073646535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 23526
- Practice address
- 1075 Ocean View Ave
1
Brooklyn, NY 11235-5405 - Phone
- (718) 891-3600
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 23526 | NY | Primary |
Addresses
Primary practice location
1075 Ocean View Ave
1
Brooklyn, NY 11235-5405
Mailing address
8000 4TH Ave Apt 518
Brooklyn, NY 11209-3949
Phone (917) 607-0088
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 |
|---|---|---|---|
| 23526 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073646535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 4TH AVE APT 518",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093949",
"telephone_number": "917-607-0088",
"fax_number": "718-745-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 OCEAN VIEW AVE",
"address_2": "1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355405",
"telephone_number": "718-891-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSAYED",
"first_name": "MOHAMED",
"middle_name": "SALAH",
"name_prefix": "Mr.",
"credential": "BACHELOR DEGREE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "23526",
"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 Jul 8, 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.