Individual provider Active NPI

Moamen Mohamed Hassanen

  • Physical Therapist
  • Hollis, NY
National Provider Identifier
1114407491
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041584 Issued in NY
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.

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 77 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
041584NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Physical Therapy of the City PC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Sensory Freeway Therapy Services OT, PT and SLP, PLLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Hands of Hope PT PC Physical Therapist PastSince Oct 6, 2019 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 041584 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.