UMME MOBASSERA MD
NPI 1063278604
General Practice in Island Park, NY

Active since February 22, 2024PECOS EnrolledAccepts Medicare Assignment
1 LONG BEACH RD, ISLAND PARK, NY 11558(516) 432-0300 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Umme Mobassera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMME MOBASSERA MD (NPI 1063278604) is an individual general practice provider in Island Park, New York, licensed in Foreign Country (31451) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063278604
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameUMME MOBASSERACredential: MD
Location Address1 LONG BEACH RDIsland Park, NY 11558-2254
Mailing Address194 Smith St Apt 1cFreeport, NY 11520-4308 · (215) 758-7786
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 22, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1063278604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in ZZ · 31451
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1 LONG BEACH RD, Island Park, NY 11558

Secondary Practice Locations 3

Location 114310 20th AveWhitestone, NY 11357-3046 · Phone (718) 961-1212
Location 215 Saint Pauls PlGreat Neck, NY 11021-2636 · Phone (516) 466-3001
Location 315715 19th AveWhitestone, NY 11357-3820 · Phone (718) 746-0400

Medicare Participation & PECOS Enrollment Status

Umme Mobassera is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Umme Mobassera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9931642055

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240618001019

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1 LONG BEACH RD
ISLAND PARK, NY 11558
Skilled Nursing Facility
1 LONG BEACH RD
ISLAND PARK, NY 11558
Skilled Nursing Facility
1 LONG BEACH RD
ISLAND PARK, NY 11558
Nurse Practitioner (Psychiatric/Mental Health)
1 LONG BEACH RD
ISLAND PARK, NY 11558
Internal Medicine
1 LONG BEACH RD
ISLAND PARK, NY 11558
Internal Medicine
1 LONG BEACH RD
ISLAND PARK, NY 11558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063278604, enumerated as an "individual" on February 22, 2024.

The provider is located at 1 LONG BEACH RD ISLAND PARK, NY 11558 and the phone number is (516) 432-0300.

General Practice with taxonomy code 208D00000X.