Active NPI
Mohamed Ahmed Mohamed Fawzy Awad, MD
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1316689177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Maimonides Medical Center
4802 10TH Ave, Brooklyn
New York, NY 11219 - Phone
- (718) 283-6000
- NPI assigned
- Apr 12, 2022
- Last updated
- Apr 12, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Maimonides Medical Center
4802 10TH Ave, Brooklyn
New York, NY 11219
Mailing address
Maimonides Medical Center
4802 10TH Ave, Brooklyn
New York, NY 11219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelham Physical Medicine Inc | Current | Accepting new patients | |
| Pelham Physical Medicine Inc | Current | Accepting new patients |
Locations
2118 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 823-3900
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.
-
- Specialist
- Bronx, NY
- NPI 1144262510
-
- Rehabilitation Clinic/Center
- Bronx, NY
- NPI 1952465338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1316689177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MAIMONIDES MEDICAL CENTER",
"address_2": "4802 10TH AVE, BROOKLYN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAIMONIDES MEDICAL CENTER",
"address_2": "4802 10TH AVE, BROOKLYN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11219",
"telephone_number": "718-283-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "MOHAMED",
"middle_name": "AHMED MOHAMED FAWZY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.