Individual provider Active NPI

Mostafa Fafkri Badawi, DPT

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1295923258
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017928 Issued in NY
Practice address
5712 94TH St
Elmhurst, NY 11373-5020
Phone
(718) 760-1083
Fax
(718) 760-1920
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 017928 NY Primary

Addresses

Primary practice location

5712 94TH St
Elmhurst, NY 11373-5020

Mailing address

5712 94TH St
Elmhurst, NY 11373-5020
Phone (718) 760-1083

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1295923258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 94TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735020",
            "telephone_number": "718-760-1083",
            "fax_number": "718-760-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 94TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735020",
            "telephone_number": "718-760-1083",
            "fax_number": "718-760-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAWI",
        "first_name": "MOSTAFA",
        "middle_name": "FAFKRI",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.