NPIMap

Individual provider Active NPI

Mohammed Saif

  • Internal Medicine Physician
  • Massapequa, NY
National Provider Identifier
1275562415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196528 Issued in NY
Practice address
672 Broadway
Massapequa, NY 11758-2316
Phone
(516) 798-6363
NPI assigned
Jul 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 196528 NY Primary

Addresses

Primary practice location

672 Broadway
Massapequa, NY 11758-2316

Mailing address

15 Coachman PL W
Syosset, NY 11791-3048
Phone (516) 798-6363

Other identifiers 1

IdentifierTypeStateIssuer
01537553MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000914 NY Practitioner - Internal Medicine 6103803515 Practice locations: Oceanside, NY; Massapequa, NY; Freeport, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

672 Broadway
Massapequa, NY 11758-2399
Phone (516) 798-6383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.22 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
84.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Testing PLLC Past Accepting new patients
Haven Manor Health Care Center LLC Past Accepting new patients
Meadowbrook Care Center, Inc. Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Networks

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Haven Manor Health Care Center LLCFar Rockaway, NY, CCN 335676 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Jul 4, 2024
Apr 8, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275562415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COACHMAN PL W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913048",
            "telephone_number": "516-798-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582316",
            "telephone_number": "516-798-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIF",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01537553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.