Mosam Cardiovascular Surgery Associates LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

MOSAM CARDIOVASCULAR SURGERY ASSOCIATES LLC

Practice address

3001 Hospital Dr
4TH Floor
Cheverly, MD 20785-1189

Phone

(301) 618-2089

Fax

(301) 618-6490

NPI assigned

Oct 25, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad Ali Noficy, MD

Title

MD

Phone

(301) 618-2089

Specialties & licenses 1

Addresses

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.

• Sam A Ebrahimi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tarzana, CA
  • NPI 1114916376
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205826948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "#2500",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-618-2089",
            "fax_number": "301-618-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "address_2": "4TH FLOOR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-2089",
            "fax_number": "301-618-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAM CARDIOVASCULAR SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOFICY",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-618-2089",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacresha Edwina Mitchener
• Carlos Julio Molestina, PA-C
• Samuel Arc'Hie Moore III
• Lina Paola Moreno Rangel, MD
• Zainab N Moriba, FNP
• Mosam Cardiovascular Surgical Associates
• Carly Moss, PA-C
• Brigette Mercedes Muir
• Humera P Mujahid, MD
• Bukola B Muritala

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.