Active NPI
Mariam Eldabosy
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 054721
- Practice address
- 3311 Shore Pkwy Apt FF
Brooklyn, NY 11235-3937 - Phone
- (718) 648-0888
- Fax
- (855) 955-3899
- NPI assigned
- Aug 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 054721 | NY | Primary |
Addresses
Primary practice location
3311 Shore Pkwy Apt FF
Brooklyn, NY 11235-3937
Mailing address
8746 20TH Ave
Brooklyn, NY 11214-4802
Phone (718) 648-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3311 Shore Pkwy
Apt FF
Brooklyn, NY 11235-3937
Phone (718) 648-0888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054721 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy of the City PC | Physical Therapist | Current | Accepting new patients |
| Madison Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Scott Physical Therapy P.C. | Physical Therapist | Past | Accepting new patients |
Locations
612 Castle Hill Ave
Bronx, NY 10473
732 Allerton Ave
Bronx, NY 10467
Phone (718) 516-0572
2488 Grand Concourse
Rm 205
Bronx, NY 10458
798 Southern Blvd
Bronx, NY 10455
Phone (212) 540-5550
3553 Johnson Ave
Bronx, NY 10463
8403 3rd Ave
Brooklyn, NY 11209
1230 Fulton St
Brooklyn, NY 11216
Phone (347) 604-6733
1685 Pitkin Ave
Brooklyn, NY 11212
5418 5th Ave
Brooklyn, NY 11220
Phone (646) 752-7058
1600 Avenue M
Brooklyn, NY 11230
Phone (212) 505-5055
5316 Church Ave
Brooklyn, NY 11203
286 Court St
Brooklyn, NY 11231
Phone (347) 604-6733
18230 Hillside Ave
Jamaica, NY 11432
17 W 125th St
New York, NY 10027
Phone (212) 831-0200
4875 Broadway
New York, NY 10034
201 E 77th St
New York, NY 10075
Phone (212) 879-6621
111 Worth St
New York, NY 10013
Phone (212) 571-4621
752 Saint Nicholas Ave
#A
New York, NY 10031
575 8th Ave
New York, NY 10018
Phone (917) 286-4261
231 W 19th St
New York, NY 10011
Phone (347) 604-6733
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
1458 Lexington Ave
New York, NY 10128
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1265940399
Physical Therapist
-
- Physical Therapist
- New York, NY
- NPI 1568037257
-
- Physical Therapist
- Brooklyn, NY
- NPI 1275520918
-
- Physical Therapist
- Brooklyn, NY
- NPI 1841270923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1538046545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8746 20TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144802",
"telephone_number": "718-648-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 SHORE PKWY APT FF",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353937",
"telephone_number": "718-648-0888",
"fax_number": "855-955-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDABOSY",
"first_name": "MARIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054721",
"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 Aug 21, 2025; 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.