Individual provider Active NPI

Karim Wahib, P.A.-C, A.T.-C

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1083898233
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
008291 Issued in NY
Practice address
120 E 83Rd St
Suite 1B
New York, NY 10028-1122
Phone
(646) 248-0831
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 008291 NY Primary

Addresses

Primary practice location

120 E 83Rd St
Suite 1B
New York, NY 10028-1122

Mailing address

120 E 83Rd St
Suite1 B
New York, NY 10028-1122
Phone (646) 942-8566

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000593 NY Practitioner - Physician Assistant 5597834317 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008291NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2018 Accepting new patients
New York University CurrentSince Jan 1, 2018 Accepting new patients
New York Society for Releif of the Ruptured and Crippled Maintaining CurrentSince Jun 1, 2024 Accepting new patients
New York Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Jun 1, 2024 Accepting new patients

Locations

535 E 70th St
New York, NY 10021

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1083898233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 83RD ST",
            "address_2": "SUITE1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281122",
            "telephone_number": "646-942-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 83RD ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281122",
            "telephone_number": "646-248-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHIB",
        "first_name": "KARIM",
        "name_prefix": "Mr.",
        "credential": "P.A.-C, A.T.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.