Individual provider Active NPI

Azza Abdel-Hamid Abo-Deeb, MD

  • Pediatrics Physician
  • Peekskill, NY
National Provider Identifier
1194808212
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
258602 Issued in NY
Practice address
2 Stowe Rd
Suite 6
Peekskill, NY 10566-2570
Phone
(914) 737-4222
Fax
(914) 737-3508
NPI assigned
Oct 23, 2006
Last updated
Aug 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 002742 NY
Pediatrics Physician 208000000X 258602 NY Primary

Addresses

Primary practice location

2 Stowe Rd
Suite 6
Peekskill, NY 10566-2570

Mailing address

2 Stowe Rd
Suite 6
Peekskill, NY 10566-2570
Phone (914) 737-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002742NYMDMental Health Counselor
258602NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Pediatrics PLLC Pediatrics Current Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aaa9036@direct.nyp.org
  • Direct secure messaging: aabodeeb@hiemail.healtheconnections.org
  • Direct secure messaging: azza.abodeeb@direct.hvhc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFDECA/Endpoint/CFDECA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1194808212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STOWE RD",
            "address_2": "SUITE 6",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662570",
            "telephone_number": "914-737-4222",
            "fax_number": "914-737-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STOWE RD",
            "address_2": "SUITE 6",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662570",
            "telephone_number": "914-737-4222",
            "fax_number": "914-737-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABO-DEEB",
        "first_name": "AZZA",
        "middle_name": "ABDEL-HAMID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "002742",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "258602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.