Active NPI
Michael Abboud OBGYN PC
- Obstetrics & Gynecology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 232699
- Legal business name
- MICHAEL ABBOUD OBGYN PC
- Practice address
- 1009 Brighton Beach Ave
3Rd Floor
Brooklyn, NY 11235-5621 - Phone
- (718) 743-3183
- NPI assigned
- Mar 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aiman Michael Abboud, M.D., D.O
- Title
- Sole Proprietor
- Phone
- (718) 743-3183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 232699 | NY | Primary |
Addresses
Primary practice location
1009 Brighton Beach Ave
3Rd Floor
Brooklyn, NY 11235-5621
Mailing address
1009 Brighton Beach Ave
3Rd Floor
Brooklyn, NY 11235-5621
Phone (718) 743-3183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02634128 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1009 Brighton Beach Ave
Ste 3
Brooklyn, NY 11235
Phone (718) 743-3121
235 Dongan Hills Ave
Staten Island, NY 10305
Phone (718) 351-7650
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1063511970
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1497720056
-
- Family Nurse Practitioner
- Westfield, NJ
- NPI 1720301864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267660800000",
"number": "1316260375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 BRIGHTON BEACH AVE",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355621",
"telephone_number": "718-743-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 BRIGHTON BEACH AVE",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355621",
"telephone_number": "718-743-3183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL ABBOUD OBGYN PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A",
"authorized_official_last_name": "ABBOUD",
"authorized_official_first_name": "AIMAN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "718-743-3183",
"authorized_official_credential": "M.D., D.O"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "232699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02634128",
"state": "NY"
}
],
"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 Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.