Active NPI
Mahmoud Eid, MD
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MA067775
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8777501 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Palisades Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA067775 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barron Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Passaic River Observation, LLC | Emergency Medicine | Current | Accepting new patients |
| Prohealth Urgent Care Medicine of New Jersey LLP | Current | Accepting new patients | |
| Stadium Emergency Associates | Current | Accepting new patients | |
| St. Joseph'S Emergency Physicians Inc | Current | Accepting new patients | |
| Passaic River Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| St Josephs Medical Group PC | Current | Accepting new patients | |
| Passaic River Physicians, LLC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Emergency Medicine Physician
- Paterson, NJ
- NPI 1568113348
-
- Emergency Medicine Physician
- Paterson, NJ
- NPI 1962162644
-
- Emergency Care Clinic/Center
- Edgewater, NJ
- NPI 1477927754
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Emergency Medical Services (Emergency Medicine) Physician
- Paterson, NJ
- NPI 1568791192
-
- Emergency Medical Services (Emergency Medicine) Physician
- Secaucus, NJ
- NPI 1205293693
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Emergency Medicine Physician
- Wayne, NJ
- NPI 1124788807
-
- Emergency Medicine Physician
- Passaic, NJ
- NPI 1003861675
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.