Individual provider Active NPI

Mahmoud Abdelaziz

  • Internal Medicine Physician
  • Manhasset, NY
National Provider Identifier
1750814562
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
322626 Issued in NY
Practice address
300 Community Dr
Manhasset, NY 11030-3816
Phone
(516) 201-4940
NPI assigned
Apr 7, 2017
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 322626 NY Primary
Internal Medicine Physician 207R00000X 34.016188 OH

Addresses

Primary practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

27155 Chardon Rd
Richmond Heights, OH 44143-1183
Phone (440) 585-7125

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708000091 NY Practitioner - Nephrology 9032532254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
322626NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Apr 1, 2026 Accepting new patients

Locations

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

5316 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 758-7003

750 Old Country Rd
Bldg 2
Riverhead, NY 11901
Phone (631) 450-1500

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1750814562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27155 CHARDON RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431183",
            "telephone_number": "440-585-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-201-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELAZIZ",
        "first_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "322626",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.016188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.