Individual provider Active NPI

Ekbal Dalahmeh, FNP-BC

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1861140840
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348350-01 Issued in NY
Practice address
929 McLean Ave
Yonkers, NY 10704-4106
Phone
(914) 803-8100
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F348350-01 NY Primary

Addresses

Primary practice location

929 McLean Ave
Yonkers, NY 10704-4106

Mailing address

234 Kingston Ave
Yonkers, NY 10701-6302
Phone (781) 964-2772

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114000819 NY Practitioner - Nurse Practitioner 7810364379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walk in Medical Urgent Care PCGroup PAC ID 0244497659, 10 clinicians

Practice addresses (Care Compare)

236 S Main St
New City, NY 10956-3318
Phone (845) 678-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F348350-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walk in Medical Urgent Care, P.C. CurrentSince Aug 1, 2022 Accepting new patients

Locations

236 S Main St
New City, NY 10956
Phone (845) 678-3434

155 White Plains Rd
Tarrytown, NY 10591
Phone (914) 332-7571

660 Columbus Ave
Thornwood, NY 10594
Phone (914) 747-2000

929 McLean Ave
Yonkers, NY 10704
Phone (914) 803-8100

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1861140840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 KINGSTON AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016302",
            "telephone_number": "781-964-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044106",
            "telephone_number": "914-803-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAHMEH",
        "first_name": "EKBAL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348350-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.