1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

OMAR MOURAD MD
NPI 1104563964
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since May 13, 2022PECOS Enrolled
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305(718) 226-8855 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2022, May 13, 2022 (2 updates tracked since 2022).

About Omar Mourad Md NPPES

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

OMAR MOURAD MD (NPI 1104563964) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104563964
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOMAR MOURADCredential: MD
Location Address475 SEAVIEW AVENUEStaten Island, NY 10305
Mailing Address475 Seaview AvenueStaten Island, NY 10305 · (718) 226-8855
Phone(718) 226-8855
Sole ProprietorNo
Enumeration DateMay 13, 2022
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1104563964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
475 SEAVIEW AVENUE, Staten Island, NY 10305
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omar Mourad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEAN CHALHOUB M.D
Internal Medicine (Gastroenterology)
475 SEAVIEW AVENUE, DEPARTMENT OF INTERNAL MEDICINE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8855
GHADA ARAJI M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
CHEN CHEN
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
MS. SIMARAN KAHLON M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9359
AMAL A RAHMAN M.D.
Pediatrics
475 SEAVIEW AVENUE, DEPARTMENT OF PEDIATRICS
STATEN, NY 10305
Richmond County (718) 226-9360
SAAD HABIB M.D.
Internal Medicine (Critical Care Medicine)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6205
RA'ED YOUSEF FAREED NASSAR MD
Internal Medicine (Nephrology)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
GHASSAN SAMAHA M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Mourad's NPI number?

The NPI number for Omar Mourad is 1104563964. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Where is Omar Mourad located?

Omar Mourad practices at 475 Seaview Avenue, Staten Island, NY 10305. The listed phone number is (718) 226-8855.

What is Omar Mourad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Omar Mourad enrolled in Medicare?

Yes. Omar Mourad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omar Mourad was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.