E H Reliable Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

262324 Issued in NY

Legal business name

E H RELIABLE MEDICAL PC

Practice address

1946 Bath Ave
Brooklyn, NY 11214

Phone

(718) 996-7460

Fax

(718) 996-7461

NPI assigned

May 14, 2012

Last updated

Jan 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elsayed H Eldeeb, MDNPI 1417287400

Title

President

Phone

(718) 833-7466

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elsayed Hammad Eldeeb, MD

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1417287400
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1639438492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144704",
            "telephone_number": "718-996-7460",
            "fax_number": "718-996-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-996-7460",
            "fax_number": "718-996-7461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6805 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112206009",
            "country_code": "US",
            "telephone_number": "718-833-7466",
            "fax_number": "718-833-7467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6805 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112206009",
            "country_code": "US",
            "telephone_number": "718-833-7466",
            "fax_number": "718-833-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "E H RELIABLE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "ELDEEB",
        "authorized_official_first_name": "ELSAYED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-833-7466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "262324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00637605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.