Ahmed Aly Abdelfadil Physician PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

196563 Issued in NY

Legal business name

AHMED ALY ABDELFADIL PHYSICIAN PC

Practice address

5947 Amboy Rd.
Second Floor
Staten Island, NY 10309-3118

Phone

(718) 605-2970

Fax

(718) 605-7180

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Ahmed Aly Abdelfadil, M.D.

Title

Director

Phone

(718) 761-2950

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dosik Kim, M.D.

  • Pulmonary Disease Physician
  • Staten Island, NY
  • NPI 1336237817

  Critical Care Medicine

  Medicare reassignment NPD
• Ira A Pollack, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Tripler Army Medical Center, HI
  • NPI 1760459614
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1194736132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SQUAN SONG LANE",
            "address_2": "SECOND FLOOR",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221820",
            "telephone_number": "718-605-2970",
            "fax_number": "718-605-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5947 AMBOY RD.",
            "address_2": "SECOND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093118",
            "telephone_number": "718-605-2970",
            "fax_number": "718-605-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED ALY ABDELFADIL PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "ABDELFADIL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ALY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-761-2950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "196563",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "196563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8V3011",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01993008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intikhab Ahmad
• Kashif Naveed Ahmad, MBBS
• Samuel Jack Ahmad, MD
• Tauqeer Ahmad, MD
• Marwa Ahmar
• Ahmed Shalabi PT PC
• Ameer Nizam Ahmed, M.D.
• Amna Ahmed, OD
• Hasib Ahmed, DDS
• Hesain Ahmed

• Pulmonary Disease Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.