Active NPI
Alhaddad Physician Services
- Specialist
- Brooklyn, NY
National Provider Identifier
1235517129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 248285
- Legal business name
- ALHADDAD PHYSICIAN SERVICES
- Practice address
- 466 Bay Ridge Ave
Brooklyn, NY 11220-5906 - Phone
- (718) 491-2003
- Fax
- (718) 491-2007
- NPI assigned
- May 11, 2015
- Last updated
- Apr 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Basal Alhaddad
- Title
- MD
- Phone
- (347) 733-3255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 248285 | NY | Primary |
Addresses
Primary practice location
466 Bay Ridge Ave
Brooklyn, NY 11220-5906
Mailing address
8407 10TH Ave
Brooklyn, NY 11228-3201
Phone (347) 733-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1124118831
-
- Interventional Cardiology Physician
- Brooklyn, NY
- NPI 1487741120
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1083933311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1235517129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8407 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112283201",
"telephone_number": "347-733-3255",
"fax_number": "718-491-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 BAY RIDGE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205906",
"telephone_number": "718-491-2003",
"fax_number": "718-491-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALHADDAD PHYSICIAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "ALHADDAD",
"authorized_official_first_name": "BASAL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "347-733-3255"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "248285",
"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 Apr 3, 2023; 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.