Individual provider Active NPI

MD Yusufal Mamoon, M.D.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1881811495
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242781 Issued in NY
Practice address
87-31, 168TH Place
Jamaica, NY 11432-1121
Phone
(718) 297-3220
Fax
(718) 279-3232
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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 242781 NY Primary

Addresses

Primary practice location

87-31, 168TH Place
Jamaica, NY 11432-1121

Mailing address

26 Lee Ave
Albertson, NY 11507-1604
Phone (516) 280-3085

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000053 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0648448720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R and R Medical Care PCGroup PAC ID 6305185877, 2 clinicians

Practice addresses (Care Compare)

8731 168TH PL
Jamaica, NY 11432-3629
Phone (718) 297-3220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R & R Medical Care PC Internal Medicine CurrentSince Jan 23, 2019 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients

Locations

8731 168th Pl
Jamaica, NY 11432
Phone (718) 297-3220

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ymamoon12515@nychhc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1881811495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LEE AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071604",
            "telephone_number": "516-280-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-31, 168TH PLACE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "718-297-3220",
            "fax_number": "718-279-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMOON",
        "first_name": "MD",
        "middle_name": "YUSUFAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.