Organization Active NPI

Elkoush Ihab Taha PT PC

  • Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1205010527
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
018307 Issued in NY
Legal business name
ELKOUSH IHAB TAHA PT PC
Practice address
1473 Sterling PL
Brooklyn, NY 11213
Phone
(718) 756-8979
Fax
(347) 663-8881
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Dr. Ihab Taha Elkoush, D.P.T
Title
Owner
Phone
(718) 756-8979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 018307 NY Primary

Addresses

Primary practice location

1473 Sterling PL
Brooklyn, NY 11213

Mailing address

1473 Sterling PL
Brooklyn, NY 11213-3001
Phone (718) 756-8979

Other practice location 1

1135 Eastern Pkwy
Suite#5
Brooklyn, NY 11213-4107
Phone (718) 756-8979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180604000144 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214017425 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1135 Eastern Pkwy
#5
Brooklyn, NY 11213
Phone (718) 756-8979

1135 Eastern Pkwy
Ste 5
Brooklyn, NY 11213
Phone (718) 756-8979

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1205010527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133001",
            "telephone_number": "718-756-8979",
            "fax_number": "347-663-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11213",
            "telephone_number": "718-756-8979",
            "fax_number": "347-663-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Eastern Pkwy",
            "address_2": "SUITE#5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112134107",
            "country_code": "US",
            "telephone_number": "718-756-8979",
            "fax_number": "718-756-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELKOUSH IHAB TAHA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "ELKOUSH",
        "authorized_official_first_name": "IHAB",
        "authorized_official_middle_name": "TAHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-756-8979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "018307",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 2018; 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.