Individual provider Active NPI

Sayed A Gomaa, P.T.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1578609269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
025553 Issued in NY
Practice address
7004 3Rd Ave
Apt # 3
Brooklyn, NY 11209-1307
Phone
(718) 450-1377
Fax
(718) 680-0915
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 025553 NY Primary

Addresses

Primary practice location

7004 3Rd Ave
Apt # 3
Brooklyn, NY 11209-1307

Mailing address

7004 3Rd Ave
Apt # 3
Brooklyn, NY 11209-1307
Phone (718) 450-1377

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025553NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578609269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 3RD AVE",
            "address_2": "APT # 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091307",
            "telephone_number": "718-450-1377",
            "fax_number": "718-680-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 3RD AVE",
            "address_2": "APT # 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091307",
            "telephone_number": "718-450-1377",
            "fax_number": "718-680-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMAA",
        "first_name": "SAYED",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "025553",
            "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 Jul 8, 2007; 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.