Organization Active NPI

Habeba Professionals Inc

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1558659268
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
021306 Issued in NY
Legal business name
HABEBA PROFESSIONALS INC
Practice address
111 Winfield St
B
Staten Island, NY 10305-3545
Phone
(646) 645-3166
Fax
(718) 979-1263
NPI assigned
Jul 14, 2011
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Waleed Ahmed Elzayat, PT,DPT,CCINPI 1659513828
Title
President
Phone
(646) 645-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 021306 NY Primary

Addresses

Primary practice location

111 Winfield St
B
Staten Island, NY 10305-3545

Mailing address

111 Winfield St
B
Staten Island, NY 10305-3545
Phone (646) 645-3166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1558659268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WINFIELD ST",
            "address_2": "B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053545",
            "telephone_number": "646-645-3166",
            "fax_number": "718-979-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WINFIELD ST",
            "address_2": "B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053545",
            "telephone_number": "646-645-3166",
            "fax_number": "718-979-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABEBA PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "ELZAYAT",
        "authorized_official_first_name": "WALEED",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "16466453166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,CCI"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "021306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.