Individual provider Active NPI

Hesham Mohamed

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1073658019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16789 Issued in NY
Practice address
110 Belair Rd
Staten Island, NY 10305-3006
Phone
(718) 442-2239
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16789 NY Primary

Addresses

Primary practice location

110 Belair Rd
Staten Island, NY 10305-3006

Mailing address

110 Belair Rd
Staten Island, NY 10305-3006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000051 NY Practitioner - Physical Therapist in Private Practice 0840341376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top Professional Associates PT PCGroup PAC ID 8123152881, 2 clinicians

Practice addresses (Care Compare)

9711 3Rd Ave
Suite 2
Brooklyn, NY 11209-7717
Phone (917) 520-4762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016789NYMDMental Health Counselor
16789NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Top Professional Associates PT PC Physical Therapist CurrentSince Aug 15, 2020 Accepting new patients
HNS Physical Therapy Rehab, P.C. CurrentSince Apr 12, 2009 Accepting new patients
Al-Huda Physical Therapy, PC Physical Therapist CurrentSince May 15, 2014 Accepting new patients

Locations

9711 3rd Ave
Ste 2
Brooklyn, NY 11209
Phone (718) 238-2911

1656 E 12th St
Fl 2
Brooklyn, NY 11229
Phone (718) 998-3020

Organizations & group practices 3

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073658019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BELAIR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BELAIR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053006",
            "telephone_number": "718-442-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "HESHAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "16789",
            "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 Jul 8, 2007; 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.