Active NPI
Mohamed Ahmed Youniss, M.D.
- Cardiovascular Disease Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 315647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Deborah Heart and Lung Center
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN23975 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Service Fund of Deborah- Anesthesia | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Deborah Cardiovascular Group, P.C. | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Professional Service Fund of Deborah Heart & Lung Center | Current | 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
- 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.
-
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
- Specialist
- Browns Mills, NJ
- NPI 1821041732
-
- Specialist
- Browns Mills, NJ
- NPI 1407803596
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
- Family Medicine Physician
- Bensalem, PA
- NPI 1437479425
-
- Specialist
- Browns Mills, NJ
- NPI 1902852015
-
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Browns Mills, NJ
- NPI 1467440743
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.