Individual provider Active NPI

Mohamed A Mohamed, BSC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1104955624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
027281 Issued in NY
Practice address
2546 Cropsey Ave
2ND Floor
Brooklyn, NY 11214-6604
Phone
(347) 393-6565
Fax
(718) 234-9203
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Specialist 174400000X 027281 NY Primary

Addresses

Primary practice location

2546 Cropsey Ave
2ND Floor
Brooklyn, NY 11214-6604

Mailing address

2546 Cropsey Ave
2ND Floor
Brooklyn, NY 11214-6604
Phone (347) 393-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090210000517 NY Practitioner - Physical Therapist in Private Practice 2365507217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3047 Ave U
Brooklyn, NY 11229

Merit-based Incentive Payment System (MIPS)

Final score
19.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027281NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A to Z PT Rehab PC CurrentSince Jan 1, 2023 Accepting new patients
Anchor Health Homecare Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Human Body in Motion PT PC PastSince Sep 17, 2023 Accepting new patients

Locations

1840 E 14th St
Brooklyn, NY 11229
Phone (347) 286-1383

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

7907 Metropolitan Ave
Middle Vlg, NY 11379
Phone (347) 286-1383

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104955624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 CROPSEY AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146604",
            "telephone_number": "347-393-6565",
            "fax_number": "718-234-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 CROPSEY AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146604",
            "telephone_number": "347-393-6565",
            "fax_number": "718-234-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MOHAMED",
        "middle_name": "A",
        "credential": "BSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "027281",
            "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.
  • 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.