Individual provider Active NPI

Ahmed Mohamed Haikel, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1346418456
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022676-1 Issued in NY
Practice address
6 Atlantic Ave
Staten Island, NY 10304-4029
Phone
(917) 361-5863
Fax
(718) 979-0922
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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 022676-1 NY Primary

Addresses

Primary practice location

6 Atlantic Ave
Staten Island, NY 10304-4029

Mailing address

6 Atlantic Ave
Staten Island, NY 10304-4029
Phone (917) 361-5863

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
022676-1NYMDSpeech-Language Pathologist
022676NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Prime Care Medical, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1346418456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ATLANTIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044029",
            "telephone_number": "917-361-5863",
            "fax_number": "718-979-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ATLANTIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044029",
            "telephone_number": "917-361-5863",
            "fax_number": "718-979-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIKEL",
        "first_name": "AHMED",
        "middle_name": "MOHAMED",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022676-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.