Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Momen M Ismail, MD

Individual provider General Practice Physician · NPI 1609496165

Momen M Ismail, MD is a General Practice in Brooklyn, New York. Qualified in 2012, 14 years ago. Practices with Mind Wellness Professional Psychiatric Services PC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 64th St
Brooklyn, NY 11220-4900
Phone: (718) 630-1310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 326726 (NY)

Record details

NPI number1609496165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2020
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address420 64th St, Brooklyn, NY 11220-4900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mind Wellness Professional Psychiatric Services Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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