Individual provider Active NPI

Mohamed Rida Elfatihi, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1356795819
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
302434-01 Issued in NY
Practice address
450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2098
Phone
(718) 245-3318
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 302434-01 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2098

Mailing address

450 Clarkson Ave
Box 1228
Brooklyn, NY 11203-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200605001776 NY Practitioner - Emergency Medicine 2264853803 Reassigns benefits to 3 organizations
I20240909004323 NJ Practitioner - Emergency Medicine 2264853803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Connecticut School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Emergency Medical Associates LLCGroup PAC ID 0547334427, 20 clinicians

Practice addresses (Care Compare)

1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (954) 939-5000

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
302434-01NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty Current Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Union Emergency Medical Associates LLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Fpa Hospital Based Single Specialty Current Accepting new patients
Fpa Hospital Based Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Kings County Hospital Center Past Accepting new patients

Locations

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

Interoperability endpoints

  • Direct secure messaging: melfatihi538006@direct.ahsys.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1356795819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032098",
            "telephone_number": "718-245-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFATIHI",
        "first_name": "MOHAMED",
        "middle_name": "RIDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "302434-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.