Active NPI
Sally Abouel-Ela, M.D.
- Internal Medicine Physician
- Rosedale, NY
National Provider Identifier
1295803674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 238713
- Practice address
- 23520 147TH Ave
Suite # 1
Rosedale, NY 11422-3293 - Phone
- (718) 276-1433
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 238713 | NY | Primary |
Addresses
Primary practice location
23520 147TH Ave
Suite # 1
Rosedale, NY 11422-3293
Mailing address
254 Birchwood Park Dr
Jericho, NY 11753-2307
Phone (516) 939-0597
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Gastro, P.C. | Past | Accepting new patients | |
| Doctor Medical of Ny PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Doctors Medical Group
- Family Medicine Physician
- Bronx, NY
- NPI 1831140722
-
- Specialist
- Brooklyn, NY
- NPI 1306169263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295803674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 BIRCHWOOD PARK DR",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532307",
"telephone_number": "516-939-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23520 147TH AVE",
"address_2": "SUITE # 1",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114223293",
"telephone_number": "718-276-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOUEL-ELA",
"first_name": "SALLY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "238713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.