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Contact Information

MOHAMED ELGENDY, MBBCH
30 PROSPECT AVE
HACKENSACK, NJ07601-1915
 Phone: 551-996-4466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOHAMED ELGENDY · (Male)

NPI Number 1962923714
Status Active
Credentials MBBCH
Entity Individual
Enumeration date 07/02/2017
Last updated 07/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 7979
  • NJ License # 25MA11378500
  • NY License # 305799
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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