Individual provider Active NPI

Nabila Al-Barghouthy, PA-C

  • Physician Assistant
  • Thornwood, NY
National Provider Identifier
1730126889
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9801 Issued in MN
Practice address
206 Benedict Ave
Thornwood, NY 10594-1204
Phone
(612) 532-3131
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9801 MN Primary

Addresses

Primary practice location

206 Benedict Ave
Thornwood, NY 10594-1204

Mailing address

206 Benedict Ave
Thornwood
Thornwood, NY 10594-1204
Phone (612) 532-3131

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000594 NY Practitioner - Physician Assistant 5294716478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Leap Medical Group PAGroup PAC ID 9830636935, 22 clinicians
Regional Neurological Associates, PCGroup PAC ID 6709809452, 7 clinicians

Practice addresses (Care Compare)

295 Madison Ave
RM 407
New York, NY 10017-6438
Phone (332) 334-1511

4234 Bronx Blvd
FRNT 1
Bronx, NY 10466-2669
Phone (718) 515-4347

4256 Bronx Blvd
Suite 5
Bronx, NY 10466-2672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Minnesota Past Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1730126889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BENEDICT AVE",
            "address_2": "THORNWOOD",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941204",
            "telephone_number": "612-532-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BENEDICT AVE",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941204",
            "telephone_number": "612-532-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-BARGHOUTHY",
        "first_name": "NABILA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornwood, NY

Sources for this page

Verify at the official NPI Registry.