Individual provider Active NPI

Sherif Elkaradawi

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1437508447
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040199-1 Issued in NY
Practice address
7712 17TH Ave
FL 2
Brooklyn, NY 11214-1102
Phone
(319) 450-5414
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040199-1 NY Primary

Addresses

Primary practice location

7712 17TH Ave
FL 2
Brooklyn, NY 11214-1102

Mailing address

7712 17TH Ave
FL 2
Brooklyn, NY 11214-1102
Phone (319) 450-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 Ocean Pkwy
Apt 17D
Brooklyn, NY 11235-8303

3000 Ocean Pkwy Apt
17D
Brooklyn, NY 11235-8355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040199-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Care Physical Therapy PC Physical Therapist Current Accepting new patients

Locations

18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288

Organizations & group practices 1

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1437508447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 17TH AVE",
            "address_2": "FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141102",
            "telephone_number": "319-450-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 17TH AVE",
            "address_2": "FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141102",
            "telephone_number": "319-450-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKARADAWI",
        "first_name": "SHERIF",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040199-1",
            "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 Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.