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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AHMED ELKOULILY M D P C
NPI 1689816902
Family Medicine in Lynbrook, NY

Active since April 01, 2009CLIA Certified · 4 labs
232 MERRICK RD, LYNBROOK, NY 11563(516) 594-5961 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Jan 28, 2026, Jun 16, 2023 and 1 more (4 updates tracked since 2019).

About Ahmed Elkoulily M D P C NPPES

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

AHMED ELKOULILY M D P C (NPI 1689816902) is a healthcare organization registered as a family medicine in Lynbrook, New York and active in the NPI registry since April 2009. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Nafisa Arif, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1689816902
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAHMED ELKOULILY M D P C
Location Address232 MERRICK RDLynbrook, NY 11563-2623
Mailing Address232 Merrick RdLynbrook, NY 11563-2623 · (516) 594-5961 · Fax (516) 256-5556
Phone(516) 594-5961
Organization SubpartNo
Authorized OfficialNafisa ArifMedical Director · (516) 304-2610
Enumeration DateApril 1, 2009
Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1689816902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 204874
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
232 MERRICK RD, Lynbrook, NY 11563
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1357 BroadwayAmityville, NY 11701-2748 · Phone (631) 789-7900
Location 25 Wicks RdBrentwood, NY 11717-3515 · Phone (631) 388-5300
Location 39131 Queens Blvd Ste 320Elmhurst, NY 11373-5540 · Phone (718) 204-1469 · Fax (718) 545-1726

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Elkoulily M D P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ahmed Elkoulily M D P C, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nasera Arif, MBBS
Geriatric Medicine
NPI 1235418930
357 BROADWAY
Amityville, NY 11701
(631) 789-7900
✔ PECOS✔ Accepts Medicare13 mi
Andrew Hararah, D.O.
Family Practice
NPI 1104920255
357 BROADWAY
Amityville, NY 11701
(631) 789-7900
✔ PECOS✔ Accepts Medicare13 mi
Marcelo Taborga, M.D.
Internal Medicine
NPI 1972847440
3096 51ST ST
Woodside, NY 11377
(718) 204-1469
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2155359

Ahmed Elkoulily MD PC · Brentwood, NY
Active · expires Sep 26, 2028
CLIA Number33D2155359
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2026
Certificate Expiration DateSeptember 26, 2028
Laboratory DirectorDr. Ahmed M. Elkoulily
Laboratory Phone(631) 388-5300
Laboratory LocationAhmed Elkoulily MD PC5 Wicks Road, Brentwood, NY 11717
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2044317

Ahmed Elkoulily MD · Amityville, NY
Active · expires Jul 19, 2028
CLIA Number33D2044317
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorDr. Ahmed M. Elkoulily
Laboratory Phone(631) 789-7900
Laboratory LocationAhmed Elkoulily MD357 Broadway, Amityville, NY 11701
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0995107

Ahmed Elkoulily MD PC · Lynbrook, NY
Active · expires May 31, 2028
CLIA Number33D0995107
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Ahmed M. Elkoulily
Laboratory Phone(516) 594-5961
Laboratory LocationAhmed Elkoulily MD PC232 Merrick Road, Lynbrook, NY 11563
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2120939

Ahmed Elkoulily, MD PC Express Medical Care Management · Woodside, NY
Active · expires Oct 26, 2026
CLIA Number33D2120939
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. Ahmed K. Elkoulily
Laboratory Phone(718) 204-1469
Laboratory LocationAhmed Elkoulily, MD PC Express Medical Care Management30-96 51st Street, Woodside, NY 11377
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ahmed Elkoulily M D P C's NPI number?

The NPI number for Ahmed Elkoulily M D P C is 1689816902. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Ahmed Elkoulily M D P C located?

Ahmed Elkoulily M D P C is located at 232 Merrick Rd, Lynbrook, NY 11563. The listed phone number is (516) 594-5961.

What is Ahmed Elkoulily M D P C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ahmed Elkoulily M D P C enrolled in Medicare?

Yes. Ahmed Elkoulily M D P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahmed Elkoulily M D P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ahmed Elkoulily M D P C, in Family Practice, Geriatric Medicine and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ahmed Elkoulily M D P C hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ahmed Elkoulily M D P C was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.