Active NPIIndividual providerSole proprietor

Mr. Ismail Abdul-Wahid, PA-C

Physician Assistant, Surgical in Brooklyn, New York

NPI Number1124656350
Practice location
451 Clarkson Ave, Brooklyn, NY 11203-2054
Fax
718-245-4689
Last updated
April 24, 2022

Ismail Abdul-Wahid is a Physician Assistant, Surgical based in Brooklyn, NY. Ismail Abdul-Wahid practices in Brooklyn, NY and has the professional credentials of PA-C. The NPI Number for Ismail Abdul-Wahid is 1124656350. The current practice location address for Ismail Abdul-Wahid is 451 Clarkson Ave, Brooklyn, NY 11203-2054 and can be reached out via phone at 718-245-4687 and via fax at 718-245-4689.

Provider Profile Details

NPI Number
1124656350
Provider Name
Ismail Abdul-Wahid
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
451 Clarkson Ave, Brooklyn, NY 11203-2054
Phone Number
718-245-4687
Fax Number
718-245-4689
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 1, 2020
Last Update Date
April 24, 2022
Certification Date
April 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
451 Clarkson Ave
Brooklyn, NY 11203-2054
Zip
11203-2054
Phone Number
718-245-4687
Fax Number
718-245-4689
Brooklyn, NY 11203Get directions →

Provider Business Mailing Address Details

Address
724 E Henry St
Linden, NJ 07036-2132
City
Linden
State
NJ
Zip
07036-2132
Phone Number
908-967-3661
Fax Number
718-245-4689

License Information

License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License State (3)
NY
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ismail Abdul-Wahid, PA-C?

The NPI number of Mr. Ismail Abdul-Wahid, PA-C is 1124656350. It was assigned on April 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Ismail Abdul-Wahid, PA-C?

Mr. Ismail Abdul-Wahid, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).

Where does Mr. Ismail Abdul-Wahid, PA-C practice?

The practice location is 451 Clarkson Ave, Brooklyn, NY 11203-2054. The office can be reached at 718-245-4687 (phone) or 718-245-4689 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124656350 directly on the NPPES registry website.

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