Anissa Abdelmalek, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

238132 Issued in NY

Practice address

355 Bard Avenue
Staten Island, NY 10310

Phone

(516) 512-1090

NPI assigned

Nov 30, 2006

Last updated

Nov 24, 2015By the provider in NPPES

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

Pathology

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Mehta and Mehta Physicians PCGroup PAC ID 3971634239, 2 clinicians

Endo Associates of Staten Island, PLLCGroup PAC ID 6608933171, 6 clinicians

Mayer J Saad MD PCGroup PAC ID 2769629914, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

90.49 of 100Reported as group

Quality

86.94

Improvement activities

40

Cost

85.72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endo Associates of Staten Island, PLLC

  • Anesthesiology Physician
  • Staten Island, NY
  • NPI 1518107283
  Medicare reassignment Care Compare group NPD
• Mayer J. Saad MD P.C.

  • Specialist
  • Westbury, NY
  • NPI 1033468509
  Medicare reassignment Care Compare group NPD
• Mehta & Mehta Physicians PC

  • Internal Medicine Physician
  • Riverhead, NY
  • NPI 1942465521
  Medicare reassignment Care Compare group NPD
• Joseph M. Duva MD PC

  • Gastroenterology Physician
  • Riverhead, NY
  • NPI 1528392875
  Medicare reassignment NPD
• Modern Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1811940851
  Medicare reassignment NPD
• Women's Health & Wellness of Queens, PLLC

  • Specialist
  • Little Neck, NY
  • NPI 1407928138
  Medicare reassignment NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1073680310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HEMPSTEAD TURNPIKE",
            "address_2": "SUITE 500",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-542-1090",
            "fax_number": "516-794-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "516-512-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMALEK",
        "first_name": "ANISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "238132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Farouk Abdelfatah, PHYSICAL THERAPIST
• Mona Abdelgawad
• Shady Abdelhalim
• Manal M Abdellatif
• Nabil Abdelmalak, MD
• Ahmed Nabile Abdelmoamen, PHYSICAL THERAPIST
• Dina Hisham Abdelsalam
• Nahed K. Abdelwahab, RPH,MS
• Naveen Abdelwahab
• Baktygul Abdieva

• Anatomic Pathology & Clinical Pathology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.