Individual provider Active NPI

Amani Bassam Abdelrasoul

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1407232192
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019716 Issued in NY
Practice address
1536 W 9TH St
Brooklyn, NY 11204-6435
Phone
(347) 592-4489
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019716 NY Primary

Addresses

Primary practice location

1536 W 9TH St
Brooklyn, NY 11204-6435

Mailing address

1536 W 9TH St
Brooklyn, NY 11204-6435
Phone (347) 592-4489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190321000568 NY Practitioner - Physical Therapist in Private Practice 5294075651 Reassigns benefits to 1 organization
I20190325000077 NY Practitioner - Occupational Therapist in Private Practice 5294075651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
New York University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6010 Bay Pkwy
Brooklyn, NY 11204-6079
Phone (718) 283-8962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Bone and Joint Faculty Practice Physical Therapy CurrentSince Nov 1, 2020 Accepting new patients
Maimonides Medical Center Orthopaedic FPP CurrentSince Jan 3, 2019 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jun 17, 2019 Accepting new patients

Locations

1715 E 13th St
Brooklyn, NY 11229
Phone (718) 526-6300

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Fl 7
Brooklyn, NY 11204
Phone (718) 283-7414

1715 E 13th St
Ste 402
Brooklyn, NY 11229

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1407232192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 W 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046435",
            "telephone_number": "347-592-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 W 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046435",
            "telephone_number": "347-592-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELRASOUL",
        "first_name": "AMANI",
        "middle_name": "BASSAM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.