Mohamed Gamal-Eldin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN0010222 Issued in FL

Practice address

2525 Pasadena Ave S
Suite E
South Pasadena, FL 33707-4566

Phone

(727) 360-7063

Fax

(727) 367-6751

NPI assigned

Jul 16, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1316101512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 PASADENA AVE S",
            "address_2": "SUITE E",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074566",
            "telephone_number": "727-360-7063",
            "fax_number": "727-367-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PASADENA AVE S",
            "address_2": "SUITE E",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074566",
            "telephone_number": "727-360-7063",
            "fax_number": "727-367-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMAL-ELDIN",
        "first_name": "MOHAMED",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0010222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.