Individual provider Active NPI

Ental Alebdy, CNM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1760852008
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001702 Issued in NY
Practice address
967 48TH St
Brooklyn, NY 11219-2919
Phone
(646) 922-5526
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001702 NY Primary

Addresses

Primary practice location

967 48TH St
Brooklyn, NY 11219-2919

Mailing address

537 82ND St
2R
Brooklyn, NY 11209-4134
Phone (646) 922-5526

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306000889 NY Practitioner - Certified Nurse Midwife (CNM) 6800135096 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001702NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
MMC OB-GYN Faculty Practice Plan CurrentSince Jan 14, 2019 Accepting new patients
Maimonides Medical Center MMC Midwifery CurrentSince Jan 14, 2019 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jan 14, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MMC OB/GYN Hospital Past Accepting new patients

Locations

967 48th St
Fl 2
Brooklyn, NY 11219
Phone (718) 283-7979

967 48th St
Brooklyn, NY 11219
Phone (718) 283-8864

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

4422 9th Ave
Brooklyn, NY 11220
Phone (718) 283-8930

6208 4th Ave
Brooklyn, NY 11220
Phone (718) 283-3000

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

Networks

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

Interoperability endpoints

  • Direct secure messaging: entalalebdy@mai.allscriptsdirect.net

Organizations & group practices 5

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1760852008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 82ND ST",
            "address_2": "2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094134",
            "telephone_number": "646-922-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192919",
            "telephone_number": "646-922-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEBDY",
        "first_name": "ENTAL",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.