Alaaeldin F. Moawad, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

232607 Issued in NY

Practice address

164 N Wellwood Ave
Lindenhurst, NY 11757-4006

Phone

(631) 504-5755

Fax

(631) 504-5756

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEACCA/Endpoint/FEACCA

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.

• Long Island Pediatrics of Brentwood,P.C.

  • Pediatrics Physician
  • Brentwood, NY
  • NPI 1912226689
  NPD Authorized official
• Alaaeldin Pediatrics, P.C.

  • Specialist
  • West Babylon, NY
  • NPI 1093033904
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1396835047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574006",
            "telephone_number": "631-504-5755",
            "fax_number": "631-504-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574006",
            "telephone_number": "631-504-5755",
            "fax_number": "631-504-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAWAD",
        "first_name": "ALAAELDIN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232607",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "232607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Milito, LCSW
• Leslie Diane Miller, M.S.ED.
• Jeonghwa Min
• Maria Misiano-Ippolito, RN BSN
• Aldona Mitek-Gorecki, M.D.
• Lianna Mocera
• Syamala Mohan, RN
• Molding Young Minds LLC
• Gehrig Anthony Montoro, DPT
• Jaysa S Morales

• Specialist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.