MEDICARE: SALAH ELDIN MOHAMED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	25MA10788400	NJ
2	208VP0014X	Interventional Pain Medicine Physician	302792	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225456759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALAH ELDIN MOHAMED MD

Provider Business Mailing Address
First Line	:	PO BOX 22239
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-0001
Country	:	US
Telephone Number	:	908-228-1198
Fax Number	:	949-810-3172

Provider Business Practice Location Address
First Line	:	9711 3RD AVE STE 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7717
Country	:	US
Telephone Number	:	718-833-1808
Fax Number	:	949-810-3172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	04/22/2026

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