Organization Active NPI

Abdullah Medical PC

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1992943062
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219201-1 Issued in NY
Legal business name
ABDULLAH MEDICAL PC
Practice address
12 N 7TH Ave FL 5
Mount Vernon, NY 10550-2026
Phone
(914) 664-8000
Fax
(914) 664-2416
NPI assigned
Jan 28, 2009
Last updated
Jan 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. Mahdi Abdullah, MDNPI 1285601914
Title
Owner/President
Phone
(914) 664-8000

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 219201-1 NY Primary

Addresses

Primary practice location

12 N 7TH Ave FL 5
Mount Vernon, NY 10550-2026

Mailing address

43 Stratton Rd
Scarsdale, NY 10583-7552
Phone (912) 664-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102001151 NY Part B Supplier - Clinic/Group Practice 4981622545 Receives reassigned benefits from 5 practitioners
Practice locations: Mount Vernon, NY

National Provider Directory

National Provider Directory

Locations

12 N 7th Ave
#5
Mount Vernon, NY 10550
Phone (914) 361-6626

31 Lockwood Ave
New Rochelle, NY 10801
Phone (732) 979-3004

Practitioners & affiliated clinicians

Practitioners 7

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": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1992943062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 STRATTON RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837552",
            "telephone_number": "912-664-8000",
            "fax_number": "914-664-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE FL 5",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-664-8000",
            "fax_number": "914-664-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDULLAH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "914-664-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219201-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.