Marwa Abdou, M.D
Individual provider Active NPI Pediatrics Physician · Brooklyn, NY
NPI 1710245717 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1710245717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 301499 (NY)
- Practice address
- 451 Clarkson Ave
Brooklyn, NY 11203-2054 - Phone
- (718) 245-3611
- Fax
- (718) 245-3729
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314000192 | TX | Practitioner - Pediatric Medicine | 6406152792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301499 | NY | MD | Pediatrics Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Pediatrics | Current |
Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current |
Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478
4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mabdou1551010@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 301499 | NY | Yes |
Addresses
Primary practice location
451 Clarkson Ave
Brooklyn, NY 11203-2054
Mailing address
451 Clarkson Ave
Brooklyn, NY 11203-2054
Phone (718) 245-3611
Other providers in Brooklyn, NY
- Mohamed Medhat Abdo
- Avinell Shane Abdool
- Nikesha Abdool
- Atif Mohamed Abdou
- Marium Abdou
- Aissata Abdoulaye
- Gelan Abdrabo
- Ahmed Abdrabou
- Afaf F Abdu
- Abduakhadov Psychiatric Services PLLC
All providers in Brooklyn, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.