Active NPI
Abdalla Mohamed, MD
- Gastroenterology Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA10590800
- Practice address
- 435 South St Ste 210
Morristown, NJ 07960-6422 - Phone
- (973) 971-7507
- NPI assigned
- Aug 31, 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 | 25MA10590800 | NJ | |
| Gastroenterology Physician | 207RG0100X | 25MA10590800 | NJ | Primary |
Addresses
Primary practice location
435 South St Ste 210
Morristown, NJ 07960-6422
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL, NY, VA, TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
18550 De Paul Dr
Morgan Hill, CA 95037-2911
Phone (408) 885-5000
225 N Jackson Ave
San Jose, CA 95116-1603
Phone (888) 334-1000
2325 Enborg Lane
San Jose, CA 95128-2604
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000
9400 N Name Uno
Gilroy, CA 95020-3528
Phone (408) 885-5000
Hospital & facility affiliations
- Santa Clara Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 35 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10590800 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Mujtaba NP Walk in Clinic, PC | Past | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
Interoperability endpoints
- amohamed208247@santaclaravalley.direct-ci.net
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Federally Qualified Health Center (FQHC)
- Gilroy, CA
- NPI 1922093533
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1972598449
-
- Family Nurse Practitioner
- Clifton, NJ
- NPI 1629669775
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1174079990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "844-362-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 SOUTH ST STE 210",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606422",
"telephone_number": "973-971-7507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "ABDALLA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10590800",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA10590800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.