Hamid Y Mouallem, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

101161 Issued in NY

Practice address

200 Central Park South
Suite 210
New York City, NY 10019

Phone

(212) 765-6322

Fax

(212) 757-7732

NPI assigned

Aug 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467560722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTRAL PARK SOUTH",
            "address_2": "SUITE 210",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-765-6322",
            "fax_number": "212-757-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTRAL PARK SOUTH",
            "address_2": "SUITE 210",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-765-6322",
            "fax_number": "212-757-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUALLEM",
        "first_name": "HAMID",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "101161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00173919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonja Viviana Adele Mittag, MD
• Aura-Maria Morales, PH.D
• Stephanya Moreno Ortega, M.D
• Barbara H Morrison, MA MIP LMFT
• Sherif Ashraf Mostafa, M.D.
• Hung Chong Lee Mui, M.A.
• Irene None Mykoliw, OTR/L
• Sandia Devi Naidoo, LMSW
• Wendy Suzuko Nakashima, CNM
• Rehan Naseer Ahmad

• Internal Medicine Physician in New York City, NY
• Providers in New York City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.