Individual provider Active NPI

Abed H Makkawi, RPA-C

  • Physician Assistant
  • East Meadow, NY
National Provider Identifier
1477869220
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014147-1 Issued in NY
Practice address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone
(516) 572-5759
NPI assigned
Aug 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014147-1 NY Primary

Addresses

Primary practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Mailing address

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-5759

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000196 NY Practitioner - Physician Assistant 9931341971 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014147-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Apr 7, 2013 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Apr 1, 2016 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jan 1, 2013 Accepting new patients
Nassau Health Care Corporation CurrentSince Apr 7, 2013 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Apr 1, 2016 Accepting new patients
Orthopaedics Spine and Sports Medicine, LLC Current Accepting new patients

Locations

2510 Westchester Ave
Ste 100
Bronx, NY 10461
Phone (718) 684-4677

1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049

2103 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4500

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

12 Unqua Rd
Massapequa, NY 11758

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Interoperability endpoints

  • Direct secure messaging: abedmakkawi@ossm.allscriptsdirect.net

Organizations & group practices 8

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1477869220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKAWI",
        "first_name": "ABED",
        "middle_name": "H",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014147-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.