Individual provider Active NPI

Pamela Mahmud, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1669682068
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
250222 Issued in NY
Practice address
160 Broadway FL 6
New York, NY 10038-4228
Phone
(212) 227-3350
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 250222 NY Primary

Addresses

Primary practice location

160 Broadway FL 6
New York, NY 10038-4228

Mailing address

160 Broadway,
6TH FLR, East Building
New York, NY 10038
Phone (212) 227-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000196 NY Practitioner - Family PracticePractitioner - Internal Medicine 7911065073 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250222NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Mar 14, 2018 Accepting new patients
Medical Office of Manhattan PLLC CurrentSince Jul 1, 2014 Accepting new patients
Shlomit Levy PastSince Mar 14, 2018 Accepting new patients

Locations

201 E 65th St
New York, NY 10065
Phone (212) 879-4700

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

Interoperability endpoints

  • Direct secure messaging: pmahmud@ccomp.curemd.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1669682068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BROADWAY,",
            "address_2": "6TH FLR, EAST BUILDING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "212-227-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BROADWAY FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384228",
            "telephone_number": "212-227-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "250222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.