Organization Active NPI

HJ Obeid MD PLLC

  • Otolaryngology Physician
  • Rome, NY
National Provider Identifier
1205229903
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HJ OBEID MD PLLC
Practice address
110 E. Chestnut Street
Rome, NY 13440-2866
Phone
(315) 336-8302
Fax
(315) 339-0958
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Hamid Joseph Obeid, MDNPI 1548251663
Title
Physician/ Owner
Phone
(315) 336-8302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

110 E. Chestnut Street
Rome, NY 13440-2866

Mailing address

110 E. Chestnut Street
Rome, NY 13440-2866
Phone (315) 336-8302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150707002225 NY Part B Supplier - Clinic/Group Practice 2062724990 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, NY; Utica, NY

National Provider Directory

National Provider Directory

Locations

2407 Genesee St
Utica, NY 13501
Phone (315) 336-8302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1205229903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E. CHESTNUT STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402866",
            "telephone_number": "315-336-8302",
            "fax_number": "315-339-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E. CHESTNUT STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402866",
            "telephone_number": "315-336-8302",
            "fax_number": "315-339-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HJ OBEID MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "315-336-8302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.