Active NPI
Gamal Mohamed Aboseria, P.T DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1245516392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016504-1
- Practice address
- 330 67TH St
2L
Brooklyn, NY 11220-5307 - Phone
- (212) 495-9155
- Fax
- (718) 748-2358
- NPI assigned
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 016504-1 | NY | Primary |
Addresses
Primary practice location
330 67TH St
2L
Brooklyn, NY 11220-5307
Mailing address
330 67TH St
2L
Brooklyn, NY 11220-5307
Phone (212) 495-9155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016504-1 | NY | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1245516392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 67TH ST",
"address_2": "2L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205307",
"telephone_number": "212-495-9155",
"fax_number": "718-748-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 67TH ST",
"address_2": "2L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205307",
"telephone_number": "212-495-9155",
"fax_number": "718-748-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOSERIA",
"first_name": "GAMAL",
"middle_name": "MOHAMED",
"credential": "P.T DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016504-1",
"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 Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.