Organization Active NPI

Astoria Mind Care Corp

  • Nurse Practitioner
  • Whitestone, NY
National Provider Identifier
1942092333
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ASTORIA MIND CARE CORP
Practice address
1752 Francis Lewis Blvd
Whitestone, NY 11357-3247
Phone
(917) 361-1448
NPI assigned
May 21, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Mohamed AlhennawyNPI 1417649377
Title
Pmhnp-BC
Phone
(973) 790-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

1752 Francis Lewis Blvd
Whitestone, NY 11357-3247

Mailing address

594 Cliff St
Ridgewood, NJ 07450-1604
Phone (917) 361-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819003501 NY Part B Supplier - Clinic/Group Practice 9830698547 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY; Whitestone, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1942092333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 CLIFF ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501604",
            "telephone_number": "917-361-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 FRANCIS LEWIS BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573247",
            "telephone_number": "917-361-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA MIND CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "ALHENNAWY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "973-790-9222"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.