Organization Active NPI

Yasmin Rehab PT PC

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1710523485
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YASMIN REHAB PT PC
Practice address
40 Getz Ave
Staten Island, NY 10312-2176
Phone
(917) 330-7274
NPI assigned
Nov 18, 2019
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Ahmed Abdelmoamen, PTNPI 1083764740
Title
President
Phone
(917) 330-7274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

40 Getz Ave
Staten Island, NY 10312-2176

Mailing address

40 Getz Ave
Staten Island, NY 10312-2176
Phone (917) 330-7274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200302000344 NY Part B Supplier - Clinic/Group Practice 3971930017 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

13620 Maple Ave
#C501
Flushing, NY 11355
Phone (718) 799-0876

13620 Maple Ave
Ste C501
Flushing, NY 11355

Practitioners & affiliated clinicians

Practitioners 2

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": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1710523485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GETZ AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122176",
            "telephone_number": "917-330-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GETZ AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103122176",
            "telephone_number": "917-330-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMIN REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "ABDELMOAMEN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-330-7274",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.