Mino M. Abdelmessih, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

007312 Issued in NY

Practice address

14845 Hillside Ave FL 1
Jamaica, NY 11435-3308

Phone

(718) 489-9566

Fax

(347) 284-1778

NPI assigned

Jul 5, 2020

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Mobile Podiatry PCGroup PAC ID 2668724568, 2 clinicians

Sla Associates LLCGroup PAC ID 4981994621, 26 clinicians

Interborough Developmental and Consultation Center IncGroup PAC ID 7911898192, 167 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/cybermed_idcc

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.

• Interborough Developmental and Consultation Center, Inc.

  dba LSA Recovery

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1588611842
  Medicare reassignment Care Compare group NPD
• Mobile Podiatry PC

  • Podiatrist
  • Jamaica, NY
  • NPI 1396227617
  Medicare reassignment Care Compare group NPD
• Sla Associates LLC

  dba IDCC Health Services

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1528447679
  Medicare reassignment Care Compare group NPD
• All Borough Podiatry PC

  • Podiatrist
  • Staten Island, NY
  • NPI 1780323113
  Medicare reassignment NPD
• Interborough Developmental and Consultation Center, Inc.

  dba IDCC Health Services

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1912867433
  NPD

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1437776572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083892",
            "telephone_number": "718-489-9566",
            "fax_number": "347-489-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14845 HILLSIDE AVE FL 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353308",
            "telephone_number": "718-489-9566",
            "fax_number": "347-284-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Targee St",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103043501",
            "country_code": "US",
            "telephone_number": "929-266-6541",
            "fax_number": "718-307-7511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2685 Pitkin Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112083892",
            "country_code": "US",
            "telephone_number": "718-489-9566",
            "fax_number": "347-284-1778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELMESSIH",
        "first_name": "MINO",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007312",
            "primary": true
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NY",
            "license": "007312",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "007312",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "007312",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "007312",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007312",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "007312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yekaterina Abayev, OTR/L
• Yelena Abayev, DPT
• Abcs of Play LLC
• Omar Nasser Abdullah Abdelhalim, MD
• Dina Abdelhamid, M.D.
• Brianna Loretta Abdullah
• Paola Ruth Bartolome Abejero, PHYSICAL THERAPIST
• Marie Abellard
• Elita M Abraham, SPECIAL ED
• Feba Abraham

• Podiatrist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.