Zobidatte Moussa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

190950 Issued in NY

Practice address

740 64TH St
Brooklyn, NY 11220-4714

Phone

(718) 439-2000

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Comprehensive Health Practice IncGroup PAC ID 3971494006, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Center for Comprehensive Health Practice Inc

  dba Center for Comprehensive Health Practice

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1073546354

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Bethany Medical Clinic of New York, PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1902173313
  Medicare reassignment NPD
• Maimonides Cardiology FPP

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1477803385
  Medicare reassignment NPD
• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846
  Medicare reassignment NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Internal Medicine

  Medicare reassignment NPD
• Montefiore Medical Center

  dba Montefiore Community Pharmacy @ CHAM

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Hillside Polymedic P.C.

  • Gastroenterology Physician
  • Jamaica, NY
  • NPI 1083743223

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912066101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204714",
            "telephone_number": "718-439-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "ZOBIDATTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F37705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gamal Ismail Mousa, PT PHD APD MS
• Mousa Gaber Mousa, PT
• Vasileios Mousafeiris, MD
• John Moussa, PHARM.D
• Marwa Lotfi Moussa
• Mdrona Moussad
• Philippe Moussignac
• Kyla Moustachetti
• Amr Ussama Moustafa, MD
• Bayomy Moustafa, PT

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.