Individual provider Active NPI

Emad Mashhoor Alwardat, M.D

  • Student in an Organized Health Care Education/Training Program
  • New York City, NY
National Provider Identifier
1336033497
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
760 Broadway, Brooklyn, Ny 11206, 8TH Floor, Internal M
New York City, NY 11206
Phone
(646) 614-5318
NPI assigned
Jun 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

760 Broadway, Brooklyn, Ny 11206, 8TH Floor, Internal M
New York City, NY 11206

Mailing address

228 South 3Rd St, Brooklyn Ny, 11211, Apt 3B
New York City, NY 11211
Phone (773) 886-9935

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1336033497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 SOUTH 3RD ST, BROOKLYN NY, 11211, APT 3B",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "773-886-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY, BROOKLYN, NY 11206, 8TH FLOOR, INTERNAL M",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "646-614-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWARDAT",
        "first_name": "EMAD",
        "middle_name": "MASHHOOR",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "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 City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.