Karim A Abdel Jalil, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New York, NY
NPI 1861074692 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1861074692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1468 Madison Ave
New York, NY 10029-6508 - Phone
- (212) 241-6500
- NPI assigned
- Apr 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251029001129 | CT | Order and Referring Only - Pulmonary Disease |
9234628389 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | Current | Accepting new patients |
Interoperability endpoints
- kabdeljalil715093@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1468 Madison Ave
New York, NY 10029-6508
Mailing address
140 Running Pine Rd
Westbrook, CT 06498-1562
Other providers in New York, NY
- Marwah Abdalla
- Mohamed Awad Mohamed Abdalla
- Diana Fadi Abdallah
- Lamiaa Abdallah
- Tammy Abdan
- Assem Mounir Metwalli Abdel Latif
- Ahmed Maher Abdel Rehim
- Aly Abdel Salem
- Youssef Abdel-Azize
- Youssef Abdel-Gawad
All providers in New York, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.