Active NPI
Ayman Mohamed
- Clinical Laboratory Director (Non-physician)
- New Haven, CT
National Provider Identifier
1710421607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- Practice address
- 4 Science Park
3Rd Floor
New Haven, CT 06511-1962 - Phone
- (203) 787-7888
- NPI assigned
- Dec 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology Specialist/Technologist | 246QH0000X | |||
| Histology Specialist/Technologist | 246QH0600X | |||
| Immunology Pathology Specialist/Technologist | 246QI0000X | |||
| Laboratory Management Specialist/Technologist | 246QL0900X | |||
| Medical Technologist | 246QM0706X | |||
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | Primary |
Addresses
Primary practice location
4 Science Park
3Rd Floor
New Haven, CT 06511-1962
Mailing address
4 Science Park
3Rd Floor
New Haven, CT 06511-1962
Phone (203) 787-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1710421607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SCIENCE PARK",
"address_2": "3RD FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065111962",
"telephone_number": "203-787-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SCIENCE PARK",
"address_2": "3RD FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065111962",
"telephone_number": "203-787-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "AYMAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "246QH0000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "246QH0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Histology",
"state": null,
"license": null,
"primary": false
},
{
"code": "246QI0000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.