NPIMap

Individual provider Active NPI

Ibrahim Abd El-Shafy, MD

  • Surgical Critical Care Physician
  • Mineola, NY
National Provider Identifier
1407146392
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
313310 Issued in NY
Practice address
173 Mineola Blvd Ste 401
Mineola, NY 11501-2555
Phone
(516) 663-1145
NPI assigned
Apr 12, 2011
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 313310 NY
Surgical Critical Care Physician 2086S0102X 313310 NY Primary

Addresses

Primary practice location

173 Mineola Blvd Ste 401
Mineola, NY 11501-2555

Mailing address

173 Mineola Blvd Ste 401
Mineola, NY 11501-2555
Phone (516) 663-1145

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iabdelshafy481031@nyumc.direct-ci.com

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211102001967 NY Practitioner - General Surgery 4587908108 Reassigns benefits to 3 organizations
I20230919004428 NJ Practitioner - General Surgery 4587908108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical Associates PCGroup PAC ID 0345144978, 229 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Hackensack, NJ 07601-1997
Phone (551) 996-5045

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313310NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Jan 7, 2026 Accepting new patients
New York University CurrentSince Dec 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Surgical Critical Care CurrentSince Sep 1, 2023 Accepting new patients
New York University Surgery CurrentSince Dec 1, 2021 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 7, 2026 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Surgery Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

173 Mineola Blvd
Ste 401
Mineola, NY 11501
Phone (516) 663-1145

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: iabdelshafy481031@nyumc.direct-ci.com
  • Direct secure messaging: ibrahim.abdel-shafy@direct.hackensackmeridian.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1407146392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD STE 401",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012555",
            "telephone_number": "516-663-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD STE 401",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012555",
            "telephone_number": "516-663-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABD EL-SHAFY",
        "first_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "313310",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "313310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iabdelshafy481031@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "173 Mineola Blvd Ste 401",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115012555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.