Individual provider Active NPI

Yousef Atalla Mahadin, MD

  • Internal Medicine Physician
  • Richmond Hill, NY
National Provider Identifier
1821239716
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
162562 Issued in NY
Practice address
8740 117TH St
Richmond Hill, NY 11418-2428
Phone
(718) 846-9772
Fax
(718) 546-5951
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 162562 NY Primary

Addresses

Primary practice location

8740 117TH St
Richmond Hill, NY 11418-2428

Mailing address

8740 117TH St
Richmond Hill
Richmond Hill, NY 11418-2428
Phone (718) 846-9772

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
162562NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1821239716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 117TH ST",
            "address_2": "RICHMOND HILL",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182428",
            "telephone_number": "718-846-9772",
            "fax_number": "718-546-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 117TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182428",
            "telephone_number": "718-846-9772",
            "fax_number": "718-546-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADIN",
        "first_name": "YOUSEF",
        "middle_name": "ATALLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.