Individual provider Active NPI

Mogeeboul R Hamed, DPT,PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1568616183
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018840 Issued in NY
Practice address
367 Little Clove Rd
Staten Island, NY 10301-4127
Phone
(917) 442-6305
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 018840 NY Primary

Addresses

Primary practice location

367 Little Clove Rd
Staten Island, NY 10301-4127

Mailing address

367 Little Clove Rd
Staten Island, NY 10301-4127
Phone (917) 442-6305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018840NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Stars Center LLC Current Accepting new patients
Therapy First PT PC Physical Therapist Current Accepting new patients
Markowitz Speech and Swallowing Therapy P.C. Physical Therapist PastSince Jul 31, 2018 Accepting new patients

Organizations & group practices 3

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": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1568616183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014127",
            "telephone_number": "917-442-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 LITTLE CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014127",
            "telephone_number": "917-442-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMED",
        "first_name": "MOGEEBOUL",
        "middle_name": "R",
        "credential": "DPT,PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018840",
            "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 Dec 9, 2025; 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.