Mohamed Ali Algamoos, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

016513 Issued in NY

Practice address

254 W 47TH St FL 5
New York, NY 10036-5652

Phone

(212) 245-0200

NPI assigned

Apr 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Aghomd, PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1386382265
  NPD (past)
• Peter Agho, MD, PC

  • Primary Care Clinic/Center
  • Bronx, NY
  • NPI 1639407828
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1609119189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 W 47TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100365652",
            "telephone_number": "212-245-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 W 47TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100365652",
            "telephone_number": "212-245-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGAMOOS",
        "first_name": "MOHAMED",
        "middle_name": "ALI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazen Saud R Alfozan, MD
• Alfred J Kaltman MD
• Ajia Alfred
• Kyle Anthony Alfred
• Patricia Alfred, LMSW
• Lizzette A Algarin-Gonzalez, MS ED/SP ED
• Fernanda Algarin, MD
• Joshua Algaze, M.D.
• Uthman Algenaidy
• Allison Algeo, MS, RDN

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.