Active NPI
Moamen Mohamed Hassanen
- Physical Therapist
- Hollis, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041584
- Practice address
- 204-12 Hillside Ave
Hollis, NY 11423 - Phone
- (718) 749-5800
- NPI assigned
- Aug 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1265940399
NY, Physical Therapist
-
- Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1285966531
NY, Physical Therapist
-
- Physical Therapist
- Maywood, NJ
- NPI 1851932974
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physical Therapy of the City PC
Practice addresses (Care Compare)
3311 Shore Pkwy
Apt FF
Brooklyn, NY 11235-3937
Phone (718) 648-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181219000697 | NY | Practitioner - Physical Therapist in Private Practice | 3375888324 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041584 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy of the City PC | Physical Therapist | Current | Accepting new patients |
| Sensory Freeway Therapy Services OT, PT and SLP, PLLC | Physical Therapist | Current | Accepting new patients |
| Hands of Hope PT PC | Physical Therapist | Past | Accepting new patients |
Locations
798 Southern Blvd
Bronx, NY 10455
Phone (212) 540-5550
732 Allerton Ave
Bronx, NY 10467
Phone (718) 516-0572
612 Castle Hill Ave
Bronx, NY 10473
2488 Grand Concourse
Rm 205
Bronx, NY 10458
3553 Johnson Ave
Bronx, NY 10463
1685 Pitkin Ave
Brooklyn, NY 11212
1230 Fulton St
Brooklyn, NY 11216
Phone (347) 604-6733
5418 5th Ave
Brooklyn, NY 11220
Phone (646) 752-7058
286 Court St
Brooklyn, NY 11231
Phone (347) 604-6733
5316 Church Ave
Brooklyn, NY 11203
1600 Avenue M
Brooklyn, NY 11230
Phone (212) 505-5055
8403 3rd Ave
Brooklyn, NY 11209
18230 Hillside Ave
Jamaica, NY 11432
17 W 125th St
New York, NY 10027
Phone (212) 831-0200
4875 Broadway
New York, NY 10034
201 E 77th St
New York, NY 10075
Phone (212) 879-6621
111 Worth St
New York, NY 10013
Phone (212) 571-4621
1458 Lexington Ave
New York, NY 10128
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
575 8th Ave
New York, NY 10018
Phone (917) 286-4261
231 W 19th St
New York, NY 10011
Phone (347) 604-6733
752 Saint Nicholas Ave
#A
New York, NY 10031
8003 211th St
Queens Vlg, NY 11427
Phone (718) 464-8948
1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 238-6161
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041584 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
204-12 Hillside Ave
Hollis, NY 11423
Mailing address
2775 E 12TH St Apt 228
Brooklyn, NY 11235-4611
Phone (646) 300-5184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2018.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1114407491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 E 12TH ST APT 228",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354611",
"telephone_number": "646-300-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204-12 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "11423",
"telephone_number": "718-749-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSANEN",
"first_name": "MOAMEN",
"middle_name": "MOHAMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.