Individual provider Active NPI

Mohamed Ahmed Youniss, M.D.

  • Cardiovascular Disease Physician
  • Schenectady, NY
National Provider Identifier
1154876928
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
315647 Issued in NY
Practice address
2546 Balltown Rd Ste 300
Schenectady, NY 12309-1079
Phone
(518) 377-8184
NPI assigned
Aug 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN23975 FL
Cardiovascular Disease Physician 207RC0000X 315647 NY Primary

Addresses

Primary practice location

2546 Balltown Rd Ste 300
Schenectady, NY 12309-1079

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

103 Sitterly Rd Ste 2100
Halfmoon, NY 12065-5646
Phone (518) 383-9373

Other practice location 2

115 Saratoga Rd Ste 230
Glenville, NY 12302-4226
Phone (518) 348-5300

Other practice location 3

3757 Carman Rd Ste 103
Schenectady, NY 12303-5438
Phone (518) 881-0810

Other practice location 4

23 Arterial Plz # 30-A
Gloversville, NY 12078-2512
Phone (518) 773-2303

Other practice location 5

425 Guy Park Ave Ste 202
Amsterdam, NY 12010-1044
Phone (518) 842-7088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231102000197 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5193104594 Reassigns benefits to 2 organizations
I20251001002228 PA Practitioner - Internal Medicine 5193104594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians

Practice addresses (Care Compare)

10160 Bustleton Ave
Suite a
Philadelphia, PA 19116-3749
Phone (215) 750-6566

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 890-3030

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

240 Middletown Blvd
Langhorne, PA 19047-1832

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 750-6566

380 Oxford Valley Rd
Langhorne, PA 19047-8304

5000 Frankford Ave
Philadelphia, PA 19124-2620

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN23975FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services CurrentSince Sep 1, 2025 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Sep 15, 2023 Accepting new patients
Aria Health Physician Services CurrentSince Sep 1, 2025 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Sep 15, 2023 Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

550 Route 530
Unit 20A
Whiting, NJ 08759

550 Route 530
Ste 20A
Whiting, NJ 08759

2685 Knights Rd
Bensalem, PA 19020
Phone (215) 245-5775

261 Old York Rd
Ste 214
Jenkintown, PA 19046
Phone (215) 885-4700

390 Middletown Blvd
Ste 604
Langhorne, PA 19047
Phone (215) 750-6331

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

370 Middletown Blvd
Ste 510
Langhorne, PA 19047
Phone (215) 750-6566

10160 Bustleton Ave
Ste A
Philadelphia, PA 19116
Phone (215) 364-0777

9501 Roosevelt Blvd
Ste 501
Philadelphia, PA 19114
Phone (215) 670-5000

5000 Frankford Ave
#1
Philadelphia, PA 19124
Phone (215) 831-2218

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1154876928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 BALLTOWN RD STE 300",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091079",
            "telephone_number": "518-377-8184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Sitterly Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120655646",
            "country_code": "US",
            "telephone_number": "518-383-9373",
            "fax_number": "518-383-4591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Saratoga Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024226",
            "country_code": "US",
            "telephone_number": "518-348-5300",
            "fax_number": "518-579-3194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3757 Carman Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123035438",
            "country_code": "US",
            "telephone_number": "518-881-0810",
            "fax_number": "518-881-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Arterial Plz # 30-A",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120782512",
            "country_code": "US",
            "telephone_number": "518-773-2303",
            "fax_number": "518-773-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Guy Park Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120101044",
            "country_code": "US",
            "telephone_number": "518-842-7088",
            "fax_number": "518-843-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNISS",
        "first_name": "MOHAMED",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN23975",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "315647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2546 Balltown Rd Ste 300",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123091079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.