MR. ISMAIL ABDUL-WAHID PA-C
NPI 1124656350
Physician Assistant - Surgical in Brooklyn, NY

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
451 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-4687(718) 245-4689 Get Directions Write a Review

NPPES record last updated: April 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2022, Apr 1, 2020 (2 updates tracked since 2020).

About Mr. Ismail Abdul-wahid Pa-c NPPES

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

MR. ISMAIL ABDUL-WAHID PA-C (NPI 1124656350) is an individual surgical provider in Brooklyn, New York and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124656350
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ISMAIL ABDUL-WAHIDCredential: PA-C
Location Address451 CLARKSON AVEBrooklyn, NY 11203-2054
Mailing Address724 E Henry StLinden, NJ 07036-2132 · (908) 967-3661 · Fax (718) 245-4689
Fax(718) 245-4689
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateApril 24, 20222 updates tracked since enumeration
NPPES CertifiedApril 24, 2022
NPI 1124656350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
451 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ismail Abdul-wahid Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527402437
PECOS Enrollment IDI20251103000031
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

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.

Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203

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 Ismail Abdul-wahid's NPI number?

The NPI number for Ismail Abdul-wahid is 1124656350. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Ismail Abdul-wahid located?

Ismail Abdul-wahid practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-4687.

What is Ismail Abdul-wahid's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ismail Abdul-wahid enrolled in Medicare?

Yes. Ismail Abdul-wahid is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ismail Abdul-wahid affiliated with any hospitals?

According to CMS data, Ismail Abdul-wahid is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Ismail Abdul-wahid was last updated on April 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.