Maya Mohamed

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053066 Issued in NY

Practice address

4 Wilson LN
Bethpage, NY 11714-4813

Phone

(646) 727-6864

NPI assigned

Sep 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maya Eldoksh Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aurora Medical Care P.C.

  • Multi-Specialty Clinic/Center
  • Astoria, NY
  • NPI 1487270443
  Medicare reassignment NPD

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1225863285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILSON LN",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILSON LN",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144813",
            "telephone_number": "646-727-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "ELDOKSH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeanette Lucille Milevoj
• Ronald Bryan Minear, DPT
• MLF RN Health Link PC
• Modern Art Acupuncture P.C.
• John Modica
• Haleh G Mohseni, M.D
• Jennifer Mongelli, L.M.T.
• Montefiore Medical Center
• Sheila Paola Morales, LMSW
• Michele Anne Morano, TEACHER

• Physical Therapist in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.