Khaled Mostafa Abozeid, KHALED

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041323 Issued in NY

Practice address

3795 E Tremont Ave Ste 2
Bronx, NY 10465-2457

Phone

(332) 216-2749

NPI assigned

Jun 18, 2018

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 names 1

• Khaled Ismail Abozeid Professional name

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pro Mobility Incorporated

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1225773690

  NY

  Medicare reassignment NPD Authorized official
• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD
• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  Medicare reassignment NPD
• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1841526399

  NJ

  Medicare reassignment NPD
• KR Rehab Incorporated

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1215686118
  NPD Authorized official

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1932693546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-15 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103844",
            "telephone_number": "917-607-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 E TREMONT AVE STE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652457",
            "telephone_number": "332-216-2749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3-15 Plaza Rd",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074103844",
            "country_code": "US",
            "telephone_number": "917-607-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOZEID",
        "first_name": "KHALED",
        "middle_name": "MOSTAFA",
        "credential": "KHALED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALED",
            "last_name": "ABOZEID",
            "middle_name": "ISMAIL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Abou Jaoude
• Reyanou Aboubakar, RN
• Sakho Aboubakary I
• Hayam Shaker Aboubakr
• Above and Beyond Early Intervention LLC
• Abraham Operations Associates LLC
• Keisha Abraham-Cornely
• Aleena Maria Abraham, MD
• Ami Abraham, DO
• Amy Abraham, MD

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.