ALI A AL-MUDAMGHA (NPI# 1144216649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144216649 |
| Entity Type | Individual |
| Full Name | ALI A AL-MUDAMGHA |
| Credential | MD |
| Practice Address |
4820 W Taft Rd Suite 209 Liverpool NY 13088-2800 |
| Practice Telephone | 3154486215 |
| Practice Fax Number | 3152344416 |
| Mailing Telephone | 3154486215 |
| Mailing Fax Number | 3152344416 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
187031 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
187031 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01742805 | 05 |
| Street Address |
4820 W TAFT RD SUITE 209 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730175241 | Alessandro Giambartolomei | Internal Medicine | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-21 |
| 1053853283 | Amy Cambareri | Psychologist | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 | 2016-11-04 |
| 1114399599 | Elizabeth Marie Carrigan | Nurse Practitioner | 4820 W Taft Rd, Suite 201, Liverpool, NY 13088-2800 | 2015-10-26 |
| 1235552639 | Paul Fallon | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2014-01-22 |
| 1801183801 | Daniel Francis Morris | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2011-06-29 |
| 1295048130 | Amy D Scullion | Nurse Practitioner | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2010-07-21 |
| 1720258205 | Endodontic Specialists, PC | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2008-03-11 |
| 1720257033 | Leo A Massaro | Dentist | 4820 W Taft Rd, Suite 102, Liverpool, NY 13088-2800 | 2008-02-21 |
| 1104039742 | Hooman Ranjbaran-jahromi | Internal Medicine | 4820 W Taft Rd, #209, Liverpool, NY 13088-2800 | 2007-05-08 |
| 1992926257 | Paul Casey Fallon | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761197 | S J H Cardiac Catheterization Associates PC | Internal Medicine | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538426242 | Robert Justin Knotts | Internal Medicine | 403 E 34th St Fl 4, New York, NY 10016-4907 | 2012-04-19 |
| 1942509260 | Rajat Goyal | Internal Medicine | 129 Melanie Dr, East Meadow, NY 11554 | 2011-03-25 |
| 1679881577 | Mount Sinai School of Medicine of New York University | Internal Medicine | 210 E 86th St Rm 502, New York, NY 10028-7725 | 2010-09-14 |
| 1275793580 | Abhijeet Singh | Internal Medicine | Suny Stonybrook University Hospital 101 Nicolls Rod, Stony Brook, NY 11794-0001 | 2008-06-10 |
| 1073639399 | Cardiac Rhythm Consultants, PC | Internal Medicine | 141 Washington Ave Ste 203, Lawrence, NY 11559-1669 | 2007-03-21 |
| 1003975632 | Saverio J Barbera | Internal Medicine | Health Science Center Nicolls Road, T-16-080, Stony Brook, NY 11794-0001 | 2006-12-08 |
| 1699868836 | Tbhc Ecg Med Services PC | Internal Medicine | Tbhc Med Services PC, 121 Dekalb Avenue, Brooklyn, NY 11201 | 2006-10-02 |
| 1235174053 | Arti N Shah | Internal Medicine | 30 West 60th Street, Suite 1u, New York, NY 10023-7906 | 2006-06-17 |
| 1225099419 | John Jun Cai | Internal Medicine | 515 Abbott Rd Ste 310, Buffalo, NY 14220-1700 | 2006-03-29 |
| 1891775201 | Michael Wilson | Internal Medicine | 9095 Main St, Clarence, NY 14031-1967 | 2006-01-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.