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Export Provider Record NPI 1063478915
Mervat NassefMD
Active
NPI Number1063478915
NPI TypeNPI-1 Individual
SpecialtyPediatrics, Pediatric Allergy/Immunology
Provider Details
NPI1063478915
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-20
Last Updated2016-11-01
Mailing Address3959 Broadway
New York, NY 10032-1559
United States
Phone: (221) 304-7250 | Fax: (212) 544-1974
📍 View Map
Primary Practice Address3959 Broadway
New York, NY 10032-1559
United States
Phone: (221) 304-7250 | Fax: (212) 544-1974
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNJ0064505
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2080P0201X – Pediatrics, Pediatric Allergy/ImmunologyNY176745
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About NPI 1063478915

Mervat Nassef MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063478915. The primary specialty listed is Pediatrics, Pediatric Allergy/Immunology. The provider is located in New York, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063478915?

NPI 1063478915 belongs to Mervat Nassef MD, a Pediatrics, Pediatric Allergy/Immunology in New York, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063478915 active?

The current status of NPI 1063478915 in the NPPES registry is Active. The record was last updated on 2016-11-01.

What specialty is NPI 1063478915?

NPI 1063478915 is classified under the taxonomy Pediatrics, Pediatric Allergy/Immunology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063478915?

You can verify NPI 1063478915 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063478915?

The primary practice address on file for NPI 1063478915 is 3959 Broadway, New York, NY 10032-1559. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063478915 issued?

NPI 1063478915 was first issued (enumerated) on 2006-04-20. The NPPES record was last updated on 2016-11-01.

Practice Location Map

Mervat Nassef is located at 3959 Broadway, New York, NY. Use the map below to find directions or verify the practice location.

📍 3959 Broadway, New York, NY 10032-1559  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mervat Nassef. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063478915. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics, Pediatric Allergy/Immunology176745NY
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162