Individual provider Active NPI

Ahmed Omran, PT

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1861640476
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021049 Issued in NY
Practice address
2017 65TH St
2ND. FL.
Brooklyn, NY 11204-3927
Phone
(917) 535-7062
Fax
(718) 234-7062
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 021049 NY Primary

Addresses

Primary practice location

2017 65TH St
2ND. FL.
Brooklyn, NY 11204-3927

Mailing address

2017 65TH St
2ND. FL.
Brooklyn, NY 11204-3927
Phone (917) 535-7062

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

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1861640476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 65TH ST",
            "address_2": "2ND. FL.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043927",
            "telephone_number": "917-535-7062",
            "fax_number": "718-234-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 65TH ST",
            "address_2": "2ND. FL.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043927",
            "telephone_number": "917-535-7062",
            "fax_number": "718-234-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMRAN",
        "first_name": "AHMED",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "021049",
            "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 Sep 8, 2008; 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.