MAMOUN ALHAJJOUMAA (NPI# 1285876466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285876466 |
| Entity Type | Individual |
| Full Name | MAMOUN ALHAJJOUMAA |
| Credential | PA |
| Practice Address |
40-35 95 Street Elmhurst NY 11368-6200 |
| Practice Telephone | 7188038463 |
| Practice Fax Number | 7182054928 |
| Mailing Telephone | 7188038463 |
| Mailing Fax Number | 7182054928 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013215 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
40-35 95 STREET |
| City | ELMHURST |
| State | NY |
| Zip Code | 11368-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396116810 | Amena Begum | Physician Assistant | 8921 Elmhurst Ave, Apt 520, Elmhurst, NY 11373-1544 | 2015-10-09 |
| 1619306479 | Benefita Floral Jones | Physician Assistant | 9205 Whitney Ave Apt B42, Elmhurst, NY 11373-2230 | 2013-11-02 |
| 1235774811 | Samantha Hussain | Physician Assistant | 4012 80th St, Elmhurst, NY 11373-1234 | 2019-11-07 |
| 1174166433 | Tyler Chan | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2019-10-18 |
| 1427602739 | Haley Sutton | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2019-07-25 |
| 1457915084 | Payal Patel | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2019-04-29 |
| 1740778208 | Mark Maraj | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2018-04-30 |
| 1689125700 | Priya Bedi | Physician Assistant | 133 E Brush Hill Rd, 310, Elmhurst, IL 60126-5659 | 2016-10-24 |
| 1124573506 | Deborah Radford | Physician Assistant | 9425 60th Ave, Elmhurst, NY 11373-5069 | 2016-08-16 |
| 1255702569 | Theodore Macario | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2015-10-13 |
| Find all providers in ELMHURST | ||||
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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.