Individual provider Active NPI

Mohamed Ilyaz Gaffoor, MD

  • Pediatric Critical Care Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1225073604
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
239853 Issued in NY
Practice address
948 48TH St
Brooklyn, NY 11219-2918
Phone
(718) 283-8260
Fax
(718) 283-6147
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 239853 NY Primary

Addresses

Primary practice location

948 48TH St
Brooklyn, NY 11219-2918

Mailing address

977 48TH St
Brooklyn, NY 11219-2919
Phone (718) 283-8015

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000065 NY Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 4183926108 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jun 26, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince May 1, 2019 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Nov 2, 2015 Accepting new patients
Maimonides Medical Center Current Accepting new patients
North Shore-Lij Medical PC CurrentSince May 1, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Sep 24, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Nov 2, 2015 Accepting new patients
Physicians of University Hospital, PC CurrentSince Sep 24, 2018 Accepting new patients
MMC Pediatrics Faculty Practice CurrentSince Jun 26, 2019 Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

977 48th St
Brooklyn, NY 11219
Phone (718) 283-8894

948 48th St
Brooklyn, NY 11219
Phone (718) 283-7219

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

300 Community Dr
Plandome, NY 11030

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mohamedgaffoor@mai.allscriptsdirect.net
  • Direct secure messaging: mgaffoor67913@northwell.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225073604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192919",
            "telephone_number": "718-283-8015",
            "fax_number": "718-635-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "718-283-8260",
            "fax_number": "718-283-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFOOR",
        "first_name": "MOHAMED",
        "middle_name": "ILYAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "239853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.