Organization Active NPI

Ahmed Elkoulily M D P C

  • Family Medicine Physician
  • Lynbrook, NY
National Provider Identifier
1689816902
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204874 Issued in NY
Legal business name
AHMED ELKOULILY M D P C
Practice address
232 Merrick Rd
Lynbrook, NY 11563-2623
Phone
(516) 594-5961
NPI assigned
Apr 1, 2009
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Nafisa Arif
Title
Medical Director
Phone
(516) 304-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204874 NY Primary

Addresses

Primary practice location

232 Merrick Rd
Lynbrook, NY 11563-2623

Mailing address

232 Merrick Rd
Lynbrook, NY 11563-2623
Phone (516) 594-5961

Other practice location 1

357 Broadway
Amityville, NY 11701-2748
Phone (631) 789-7900

Other practice location 2

5 Wicks Rd
Brentwood, NY 11717-3515
Phone (631) 388-5300

Other practice location 3

9131 Queens Blvd Ste 320
Elmhurst, NY 11373-5540
Phone (718) 204-1469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111006000070 NY Part B Supplier - Clinic/Group Practice 7012189566 Receives reassigned benefits from 3 practitioners
Practice locations: Lynbrook, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1689816902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632623",
            "telephone_number": "516-594-5961",
            "fax_number": "516-256-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632623",
            "telephone_number": "516-594-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 Broadway",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117012748",
            "country_code": "US",
            "telephone_number": "631-789-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Wicks Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117173515",
            "country_code": "US",
            "telephone_number": "631-388-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9131 Queens Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735540",
            "country_code": "US",
            "telephone_number": "718-204-1469",
            "fax_number": "718-545-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AHMED ELKOULILY M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "ARIF",
        "authorized_official_first_name": "NAFISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-304-2610"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.