Active NPI
Ossama Abdelkader Elbahloul, M.D.
- General Practice Physician
- Bronx, NY
National Provider Identifier
1356599187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 248705
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 248705 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401
Other practice location 1
303 Lincoln Ave
Secaucus, NJ 07094-2105
Phone (201) 617-5165
Other names 1
- Dr. Ossama Abdelkader Elbahloul
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1356599187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104581000",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [
{
"address_1": "303 Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Secaucus",
"state": "NJ",
"postal_code": "070942105",
"country_code": "US",
"telephone_number": "201-617-5165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELBAHLOUL",
"first_name": "OSSAMA",
"middle_name": "ABDELKADER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "248705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OSSAMA",
"last_name": "ELBAHLOUL",
"middle_name": "ABDELKADER",
"prefix": "DR.",
"credential": "M.D.,",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.