Active NPI
Mishal Ali Alkasimi, D.O.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1477598191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 238311
- Practice address
- 97 74TH St
Brooklyn, NY 11209-1904 - Phone
- (718) 238-6204
- Fax
- (718) 238-6205
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 238311 | NY | Primary |
Addresses
Primary practice location
97 74TH St
Brooklyn, NY 11209-1904
Mailing address
97 74TH St
Brooklyn, NY 11209-1904
Phone (718) 238-6204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alzoobaee Pediatrics PC | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1720369069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196553600000",
"number": "1477598191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 74TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091904",
"telephone_number": "718-238-6204",
"fax_number": "718-238-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 74TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091904",
"telephone_number": "718-238-6204",
"fax_number": "718-238-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKASIMI",
"first_name": "MISHAL",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2007-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "238311",
"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 Dec 2, 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.