Individual provider Active NPI

Abu Taher, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1457435737
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
211161 Issued in NY
Practice address
634 Schenectady Ave
Brooklyn, NY 11203-1821
Phone
(718) 339-8950
Fax
(718) 339-8953
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 211161 NY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 211161 NY
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 211161 NY

Addresses

Primary practice location

634 Schenectady Ave
Brooklyn, NY 11203-1821

Mailing address

52 Heywood St
New Hyde Park, NY 11040-2412
Phone (917) 687-8592

Other identifiers 1

IdentifierTypeStateIssuer
01879092MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070518000272 NY Practitioner - Physical Medicine and Rehabilitation 2668368838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

634 Schenectady Ave
Brooklyn, NY 11203-1821
Phone (718) 339-0950

Hospital & facility affiliations

  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233
  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Diagnostic Preventive & Rehablitation Medical PC Physical Medicine & Rehabilitation CurrentSince Oct 7, 1999 Accepting new patients
Harlem Medical Associates PC CurrentSince Mar 1, 2011 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. Physical Medicine & Rehabilitation CurrentSince Jan 29, 2021 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

528 Prospect Pl
Brooklyn, NY 11238
Phone (718) 613-6800

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1457435737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HEYWOOD ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402412",
            "telephone_number": "917-687-8592",
            "fax_number": "718-339-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SCHENECTADY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031821",
            "telephone_number": "718-339-8950",
            "fax_number": "718-339-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "ABU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "211161",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "211161",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "211161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.