DR. MORAD AWADALLAH MD
NPI 1265760565
Student in an Organized Health Care Education/Training Program in Brentwood, NY

Active since November 24, 2009PECOS Enrolled
2 PROSPECT AVE, BRENTWOOD, NY 11717(631) 273-2210 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Morad Awadallah Md NPPES

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

DR. MORAD AWADALLAH MD (NPI 1265760565) is an individual student in an organized health care education/training program in Brentwood, New York and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265760565
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MORAD AWADALLAHCredential: MD
Location Address2 PROSPECT AVEBrentwood, NY 11717-2405
Mailing Address2 Prospect AveBrentwood, NY 11717-2405 · (631) 273-2210
Sole ProprietorNo
Enumeration DateNovember 24, 2009
NPI 1265760565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2 PROSPECT AVE, Brentwood, NY 11717

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Morad Awadallah 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.

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 Morad Awadallah's NPI number?

The NPI number for Morad Awadallah is 1265760565. It was assigned to this individual provider in the NPPES registry on November 24, 2009.

Where is Morad Awadallah located?

Morad Awadallah practices at 2 Prospect Ave, Brentwood, NY 11717. The listed phone number is (631) 273-2210.

What is Morad Awadallah's specialty?

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

Is Morad Awadallah enrolled in Medicare?

Yes. Morad Awadallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Morad Awadallah was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.