Mohamed Eid, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

052588 Issued in NY

Practice address

11 Ralph PL Ste 217
Staten Island, NY 10304-4416

Phone

(917) 724-1509

Fax

(914) 407-1996

NPI assigned

Aug 9, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Rehab PT PCGroup PAC ID 9537430350, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New York Rehab PT PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1699205021
  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  Medicare reassignment NPD

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1427889609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MOSELY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 217",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044416",
            "telephone_number": "917-724-1509",
            "fax_number": "914-407-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Wyckoff Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112375303",
            "country_code": "US",
            "telephone_number": "914-758-5151",
            "fax_number": "914-407-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EID",
        "first_name": "MOHAMED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "052588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc-Andre Ehrenfels, M.D.
• Jackie Ehrlich, M.S.
• Christine Eick, LPN
• Dyala Sophia Eid, M.S.
• Marwenhassan Eid, MD
• Danielle Marie Eikeseth
• Eileen Phoenix
• Eric Eilenberg
• Stefanie Eilerman, PHARMD
• Galina Eilyuk

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.