Active NPI
Moataz El Refaie, M.D.
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1194814616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 260322
- Practice address
- 7701 13TH Ave
Brooklyn, NY 11228-2413 - Phone
- (718) 232-1351
- Fax
- (718) 837-5676
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD00043395 | WA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 260322 | NY | Primary |
Addresses
Primary practice location
7701 13TH Ave
Brooklyn, NY 11228-2413
Mailing address
7701 13TH Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911019392 | Other | COMMERCIAL | |
| 8393233 | Medicaid | WA | |
| 8393233 | Other | WA | CHPW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7701 13TH Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Neighborhood Counseling Center Inc | Current | Accepting new patients |
Locations
7701 13th Ave
Brooklyn, NY 11228
Phone (718) 232-1351
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1457352098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1194814616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7701 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282413",
"telephone_number": "718-232-1351",
"fax_number": "718-837-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282413",
"telephone_number": "718-232-1351",
"fax_number": "718-837-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL REFAIE",
"first_name": "MOATAZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2021-04-09",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD00043395",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "260322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "911019392",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8393233",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHPW",
"identifier": "8393233",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.