Individual provider Active NPI

Bayomy Moustafa, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1528019197
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014472 Issued in NY
Practice address
810 Rogers Ave
1St Floor
Brooklyn, NY 11226-3640
Phone
(718) 940-9010
Fax
(718) 940-9012
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014472 NY Primary

Addresses

Primary practice location

810 Rogers Ave
1St Floor
Brooklyn, NY 11226-3640

Mailing address

438 100TH Street
Brooklyn, NY 11209-8309
Phone (917) 886-7569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060518000113 NY Practitioner - Physical Therapist in Private Practice 9931110467 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

443 Linden Blvd
Brooklyn, NY 11203-2821
Phone (347) 429-7750

446 McDonald Ave
Brooklyn, NY 11218-2212
Phone (718) 972-4200

856 Dekalb Ave
Brooklyn, NY 11221-1402
Phone (718) 222-8777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014472NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamid Lalani Medical PLLC CurrentSince Jan 1, 2024 Accepting new patients
Verrazano Physical Therapy PC Physical Therapist CurrentSince Jan 29, 2007 Accepting new patients
Aqua Physical Therapy P.C Current Accepting new patients
Suryanarayan Anand MD PC Past Accepting new patients
Loring Medical PC PastSince Mar 14, 2012 Accepting new patients
Rehab Island Physical Therapy Physical Therapist Past Accepting new patients
Pro Form Physical Therapy PC Past Accepting new patients
Andrea Montijo Physical Therapist PastSince Dec 30, 2009 Accepting new patients

Locations

4713 Church Ave
Brooklyn, NY 11203
Phone (631) 760-1932

6911 Fort Hamilton Pkwy
Brooklyn, NY 11228
Phone (718) 238-9392

250 Van Brunt St
Brooklyn, NY 11231
Phone (718) 222-0016

178 Flatbush Ave
Brooklyn, NY 11217
Phone (718) 398-8000

228 Montrose Ave
Brooklyn, NY 11206
Phone (718) 284-7070

88 Seigel St
Brooklyn, NY 11206
Phone (718) 388-5770

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 9

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1528019197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 100TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098309",
            "telephone_number": "917-886-7569",
            "fax_number": "718-940-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ROGERS AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263640",
            "telephone_number": "718-940-9010",
            "fax_number": "718-940-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTAFA",
        "first_name": "BAYOMY",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014472",
            "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 Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.