Individual provider Active NPI

Nahla Abdelaziz Mahgoub, M.D

  • Psychiatry Physician
  • Valhalla, NY
National Provider Identifier
1639290646
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
239877 Issued in NY
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 493-7000
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 239877 NY Primary

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

100 Woods Rd
Westchester Medical Center
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other practice location 1

45 Rivington St
New York, NY 10002-1304
Phone (332) 243-1600

Other practice location 2

Gracie Square Hospital
420 E 76th st
New York, NY 10021
Phone (212) 434-5300

Other practice location 3

21 Bloomingdale Rd
New York Presbyterian Hospital Westchester Division
White Plains, NY 10605
Phone (914) 997-4352

Other practice location 4

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5138

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address nam2024@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070814000733 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4082705454 Reassigns benefits to 3 organizations
I20141112000968 NJ Practitioner - Geriatric Psychiatry 4082705454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1425 Madison Ave
New York, NY 10029-6514
Phone (212) 824-8150

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (848) 309-1436

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08363600NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC CurrentSince Oct 1, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Jun 23, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 5, 2026 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Feb 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 5, 2026 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 23, 2025 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Feb 1, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: nam2024@direct.nyp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1639290646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "address_2": "WESTCHESTER MEDICAL CENTER",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Rivington St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100021304",
            "country_code": "US",
            "telephone_number": "332-243-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Gracie Square Hospital",
            "address_2": "420 E 76th st",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "country_code": "US",
            "telephone_number": "212-434-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 BLOOMINGDALE RD",
            "address_2": "NEW YORK PRESBYTERIAN HOSPITAL WESTCHESTER DIVISION",
            "address_purpose": "LOCATION",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "country_code": "US",
            "telephone_number": "914-997-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 New Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613654",
            "country_code": "US",
            "telephone_number": "732-324-5138",
            "fax_number": "732-324-5139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHGOUB",
        "first_name": "NAHLA",
        "middle_name": "ABDELAZIZ",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "239877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "420 E 76th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100213396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nam2024@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "420 E 76th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100213396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "420 E 76th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100213396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.