Individual provider Active NPI

Mazen M Abdel Magid

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1609247345
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038728-1 Issued in NY
Practice address
1247 74TH St
Brooklyn, NY 11228-2016
Phone
(347) 634-3095
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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 038728-1 NY Primary

Addresses

Primary practice location

1247 74TH St
Brooklyn, NY 11228-2016

Mailing address

1247 74TH St
Brooklyn, NY 11228-2016
Phone (347) 634-3095

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
038728-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Queens Physical Therapy PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1609247345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 74TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282016",
            "telephone_number": "347-634-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 74TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282016",
            "telephone_number": "347-634-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL MAGID",
        "first_name": "MAZEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038728-1",
            "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 Oct 7, 2015; 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.