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MOHAMED EID PT
NPI 1427889609
Specialist in Staten Island, NY

Active since August 09, 2024Accepts Medicare Assignment
11 RALPH PL STE 217, STATEN ISLAND, NY 10304(917) 724-1509(914) 407-1996 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Aug 9, 2024 (2 updates tracked since 2024).

About Mohamed Eid Pt NPPES

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

MOHAMED EID PT (NPI 1427889609) is an individual specialist in Staten Island, New York, licensed in New York (052588) and active in the NPI registry since August 2024. He maintains a secondary practice location in Brooklyn and is a graduate of Other (2004).

NPPES Registry Identity

NPI1427889609
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMOHAMED EIDCredential: PT
Location Address11 RALPH PL STE 217Staten Island, NY 10304-4416
Mailing Address205 Mosely AveStaten Island, NY 10312-4165
Phone(917) 724-1509
Fax(914) 407-1996
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 9, 2024
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1427889609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 052588
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11 RALPH PL STE 217, Staten Island, NY 10304
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Secondary Practice Location 1

Location 1235 Wyckoff AveBrooklyn, NY 11237-5303 · Phone (914) 758-5151 · Fax (914) 407-1996

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

Mohamed Eid Pt 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 ID2163954793
PECOS Enrollment IDI20241021001029

Other Providers at the Same Location NPPES

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

MALHOTRA NEUROLOGY PC
Psychiatry & Neurology (Neurology)
11 RALPH PL STE 217
STATEN ISLAND, NY 10304
Richmond County (347) 602-9530

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 Mohamed Eid's NPI number?

The NPI number for Mohamed Eid is 1427889609. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Mohamed Eid located?

Mohamed Eid practices at 11 Ralph Pl Ste 217, Staten Island, NY 10304. The listed phone number is (917) 724-1509.

What is Mohamed Eid's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mohamed Eid enrolled in Medicare?

Yes. Mohamed Eid 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.

When was this NPI record last updated?

The NPPES record for Mohamed Eid was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.