Individual provider Active NPI

Mahmoud Eid, MD

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1508968561
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA067775 Issued in NJ
Practice address
406 15 TH Ste M1A
Brooklyn, NY 11215-6054
Phone
(718) 369-7560
Fax
(718) 269-7563
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA067775 NJ Primary

Addresses

Primary practice location

406 15 TH Ste M1A
Brooklyn, NY 11215-6054

Mailing address

12 Doty Ave
Staten Island, NY 10305-4721
Phone (718) 524-6228

Other identifiers 1

IdentifierTypeStateIssuer
8777501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050111000755 NJ Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 6800844598 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine, Geriatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Passaic River Observation, LLCGroup PAC ID 0143617126, 27 clinicians
Barron Emergency Physicians LLCGroup PAC ID 8820083785, 99 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

7600 River Rd
North Bergen, NJ 07047-6217
Phone (954) 939-5000

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067775NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barron Emergency Physicians LLC Emergency Medicine CurrentSince Jan 14, 2020 Accepting new patients
Passaic River Observation, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Apr 1, 2018 Accepting new patients
Stadium Emergency Associates CurrentSince Jan 14, 2016 Accepting new patients
St. Joseph'S Emergency Physicians Inc CurrentSince Jan 25, 2012 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine Current Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Jema Physicians' Services, L.L.C. Emergency Medicine Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

1945 Corlies Ave
#33
Neptune City, NJ 07753
Phone (732) 776-4203

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG21
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1508968561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOTY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054721",
            "telephone_number": "718-524-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 15 TH STE M1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156054",
            "telephone_number": "718-369-7560",
            "fax_number": "718-269-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA067775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8777501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.