Individual provider Active NPI

Abdelrahim A. Abulmagd

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1104950393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018107 Issued in NY
Practice address
58 Belair LN
Staten Island, NY 10305-3067
Phone
(718) 812-6764
Fax
(718) 448-3979
NPI assigned
Mar 16, 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 018107 NY Primary

Addresses

Primary practice location

58 Belair LN
Staten Island, NY 10305-3067

Mailing address

58 Belair LN
Staten Island, NY 10305-3067
Phone (718) 812-6764

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000342 NY Practitioner - Physical Therapist in Private Practice 5890862700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaview Physical Therapy PCGroup PAC ID 8729439898, 2 clinicians

Practice addresses (Care Compare)

314 Seaview Ave
Staten Island, NY 10305-2246
Phone (929) 800-0181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018107NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Physical Therapy PC Physical Therapist CurrentSince Dec 3, 2023 Accepting new patients

Locations

314 Seaview Ave
Staten Island, NY 10305
Phone (718) 668-3417

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104950393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BELAIR LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053067",
            "telephone_number": "718-812-6764",
            "fax_number": "718-448-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BELAIR LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053067",
            "telephone_number": "718-812-6764",
            "fax_number": "718-448-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABULMAGD",
        "first_name": "ABDELRAHIM",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018107",
            "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.