Active NPI
Elemam Physician PC
- Physical Medicine & Rehabilitation Physician
- Dix Hills, NY
National Provider Identifier
1245432285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 199870
- Legal business name
- ELEMAM PHYSICIAN PC
- Practice address
- 1 Whispering CT
Dix Hills, NY 11746-8008 - Phone
- (631) 491-9122
- NPI assigned
- Jun 1, 2007
- 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
- Ahmed Elemam, MD
- Title
- President
- Phone
- (631) 491-9122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 199870 | NY | Primary |
Addresses
Primary practice location
1 Whispering CT
Dix Hills, NY 11746-8008
Mailing address
1A Whispering Court
Dix Hills, NY 11746
Phone (631) 491-9122
National Provider Directory
National Provider DirectoryLocations
152 Islip Ave
Ste 24
Islip, NY 11751
Phone (631) 277-6767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- New York, NY
- NPI 1487801155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1245432285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A WHISPERING COURT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "11746",
"telephone_number": "631-491-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WHISPERING CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117468008",
"telephone_number": "631-491-9122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEMAM PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "ELEMAM",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-491-9122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "199870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.