Mohammad B Tabaie, MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MOHAMMAD B TABAIE, MD PC

Practice address

4850 Broad Rd
Suite 2G
Syracuse, NY 13215-5100

Phone

(315) 492-5815

Fax

(315) 492-5831

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Mohammad B Tabaie, MD

Title

Owner

Phone

(315) 492-5815

Specialties & licenses 1

Addresses

Other names 1

• Cosmetic Plastic Reconstructive Surgery Other name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark S Potenza, MD

  • Plastic and Reconstructive Surgery Physician
  • Camillus, NY
  • NPI 1134122096
  NPD (past)
• Ellen E Powers, NP

  • Family Nurse Practitioner
  • Fayetteville, NY
  • NPI 1992756209
  NPD (past)
• Elaine Reeves, FNP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Syracuse, NY
  • NPI 1134382369
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568451391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574503",
            "telephone_number": "315-446-3904",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "SUITE 2G",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155100",
            "telephone_number": "315-492-5815",
            "fax_number": "315-492-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD B TABAIE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABAIE",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-492-5815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Plastic Reconstructive Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Mogle, FNP-C
• Abdirahman Abdi Mohamed
• Abeir Abdelwahab Osman Mohamed
• Ayan Mohamed, RPA-C
• Mohamed Yosri Mohamed, MD
• Alaaeldeen Mohammed
• Loay Salah Mohammed
• MD Golam Mohiuddin, MBBS.M.D.
• Sayeeda Taj Mohiuddin, MD, FACOG
• Billal Mohmand, MD

• Plastic Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.