MR. WALID M ELZOMOR


Address: 506 6th St, Brooklyn, NY 11215-3609
Phone: 7187807700

MR. WALID M ELZOMOR (NPI# 1255374930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255374930
Entity Type Individual
Full Name MR. WALID M ELZOMOR
Credential PA-C
Practice Address 506 6th St
Brooklyn
NY 11215-3609
Mailing Address 309 Wedgewood Dr
Paramus
NJ 07652
Practice Telephone 7187807700
Mailing Telephone 2014833008
Enumeration Date 2006-06-13
Last Update Date 2019-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
25MP00140500 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
010232 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 506 6TH ST
City BROOKLYN
State NY
Zip Code 11215-3609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053310847 Peilin Zhang Pathology 506 6th St, Brooklyn, NY 11215-3609 2005-07-14
1922607514 Sandra Sewanu Ajimavo Nurse Practitioner 506 6th St, Brooklyn, NY 11215-3609 2020-10-23
1831797745 Lindy Ganthier Registered Nurse 506 6th St, Brooklyn, NY 11215-3609 2020-10-13
1013521954 Anna W Ku Registered Nurse 506 6th St, Brooklyn, NY 11215-3609 2020-09-08
1588289318 Walid Khass Student in an Organized Health Care Education/Training Program 506 6th St, Brooklyn, NY 11215-3609 2020-06-08
1093339996 Beatrice Saintard Registered Nurse 506 6th St, Brooklyn, NY 11215-3609 2020-06-05
1295359958 Naomi Acheampong General Acute Care Hospital 506 6th St, Brooklyn, NY 11215-3609 2020-05-28
1932721024 John Kelly Physical Therapist 506 6th St, Brooklyn, NY 11215-3609 2020-05-11
1134749575 Jennifer Ann Tokash Occupational Therapist 506 6th St, Brooklyn, NY 11215-3609 2020-04-24
1700406311 Paul Myung Kim Student in an Organized Health Care Education/Training Program 506 6th St, Brooklyn, NY 11215-3609 2020-04-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609493584 Lakshmi Menon Student in an Organized Health Care Education/Training Program 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 2020-06-26
1083234785 Yalda Hazrat Student in an Organized Health Care Education/Training Program 5066th Street, Brooklyn, NY 11215 2020-04-22
1548815384 Brittany Dalbow Counselor 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 2019-08-08
1669032504 Bilal Ghassan Jaradat Student in an Organized Health Care Education/Training Program 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 2019-06-13
1598322547 Abeer Ashfaq Student in an Organized Health Care Education/Training Program 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 2019-05-24
1508422809 Racha Cassard Student in an Organized Health Care Education/Training Program Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 2019-05-13
1972066884 Nourhan Arafa Kika Student in an Organized Health Care Education/Training Program Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 2019-04-08
1891258703 Mountasir El-tohami Student in an Organized Health Care Education/Training Program New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 2019-04-08
1386106938 Anita Krish Student in an Organized Health Care Education/Training Program Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 2019-04-03
1497237549 Elizabeth Hopkins Social Worker 439 9th Street, Suite 1a, Brooklyn, NY 11215 2018-09-05
Find all providers in zip 11215

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
1447716824 Laura Holmes Physician Assistant 401 S 5th St Fl 2, Brooklyn, NY 11211-7426 2019-02-11
1497206981 Viktoriya Sionov Physician Assistant 6522 Avenue M, Brooklyn, NY 11234-5600 2016-10-19
1003212994 Precision Physicians Assistant Physician Assistant 149 Dupont St, Apt1, Brooklyn, NY 11222-1279 2014-11-05
1417386640 Alexandra Demeglio Physician Assistant 1357 Ovington Ave, Brooklyn, NY 11219-6111 2013-11-07
1659706570 Lyudmila Trubetsky Physician Assistant 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 2013-09-10
1831531094 Julio Alberto Chau Physician Assistant 173 Clinton St Apt B, Brooklyn, NY 11201-5640 2013-07-29
1164799508 James Earl La Voy Physician Assistant 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 2011-11-30
1629363486 Michael Joseph Levine Physician Assistant 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 2011-06-09
1134411630 Suzanne Cassandra Forde Physician Assistant 1850 Brooklyn Avenue, Apt. 4h, Brooklyn, NY 11210-4248 2011-05-03
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Competitor

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City BROOKLYN
Zip Code 11215

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Dataset Information

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.

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