Active NPI
Azza Abdel-Hamid Abo-Deeb, MD
- Pediatrics Physician
- Peekskill, NY
National Provider Identifier
1194808212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 258602
- 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, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002742 | NY | MD | Mental Health Counselor |
| 258602 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- aaa9036@direct.nyp.org
- aabodeeb@hiemail.healtheconnections.org
- azza.abodeeb@direct.hvhc.org
- 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.
-
- Pediatrics Physician
- Peekskill, NY
- NPI 1609328202
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.