Manzoor Nayeema Mohiuddin, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD028414-E Issued in PA

Practice address

5800 Ridge Ave
Philadelphia, PA 19128-1737

Phone

(215) 487-4718

Fax

(215) 487-4328

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

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 PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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 Optimal Health LLC

  • Physical Medicine & Rehabilitation Physician
  • Plymouth Meeting, PA
  • NPI 1598732117
  NPD (past)
• M Azam Mohiuddin MD PC

  • Psychiatric Hospital
  • Philadelphia, PA
  • NPI 1326216995
  NPD (past)
• Wyndmoor Rehab Associates P.C.

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1447295779
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982706982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 FOOTHILL DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067920",
            "telephone_number": "215-947-5745",
            "fax_number": "215-487-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281737",
            "telephone_number": "215-487-4718",
            "fax_number": "215-487-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "MANZOOR",
        "middle_name": "NAYEEMA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD028414-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO ID",
            "identifier": "0023040000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suyash Mohan, MD
• Samer Mohandes, MD
• Arun K Mohanty, MD
• Sweta Harish Mohanty, M.D.
• M Azam Mohiuddin, M.D
• Osman Mohiuddin, DO
• Mallory Mohn, DNP, CRNA
• Kyle Mohney, DO
• Jonathan Mohr
• Raymond Mohr, BA

• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.