Individual provider Active NPI

Mohamed Yassin Afifi, DTP

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1851637854
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032816 Issued in NY
Practice address
4720 Avenue N
Brooklyn, NY 11234-3710
Phone
(646) 341-7586
NPI assigned
Dec 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032816 NY Primary

Addresses

Primary practice location

4720 Avenue N
Brooklyn, NY 11234-3710

Mailing address

6802 Ridge Blvd
Apt. 4 M
Brooklyn, NY 11220-5829
Phone (646) 341-7586

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
032816NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Earth Physical Therapy PC CurrentSince Feb 7, 2021 Accepting new patients
Life Quality P.T P.C Physical Therapist Past Accepting new patients
Binyomin Nemon, D.O., PLLC Past Accepting new patients

Locations

4720 Avenue N
Brooklyn, NY 11234
Phone (718) 258-7800

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, 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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1851637854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 RIDGE BLVD",
            "address_2": "APT. 4 M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205829",
            "telephone_number": "646-341-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343710",
            "telephone_number": "646-341-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFIFI",
        "first_name": "MOHAMED",
        "middle_name": "YASSIN",
        "name_prefix": "Dr.",
        "credential": "DTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-19",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.