Individual provider Active NPI

Babak Mohajer, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1003839374
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
194807 Issued in NY
Practice address
155 5TH Ave
2ND Floor
New York, NY 10010-6802
Phone
(212) 260-6505
Fax
(212) 260-6506
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 194807 NY
Gastroenterology Physician 207RG0100X 194807 NY Primary

Addresses

Primary practice location

155 5TH Ave
2ND Floor
New York, NY 10010-6802

Mailing address

155 5TH Ave
2ND Floor
New York, NY 10010-6802
Phone (212) 260-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000301 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 9436289477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

632 Broadway
New York, NY 10012-2614
Phone (212) 432-5847

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Upper gastrointestinal (GI) endoscopy for acid reflux46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

632 Broadway
Fl 2
New York, NY 10012
Phone (877) 746-2447

632 Broadway
New York, NY 10012
Phone (347) 762-7392

632 Broadway
Frnt A
New York, NY 10012
Phone (877) 746-2447

10 Union Sq E
Ste 5M
New York, NY 10003
Phone (212) 253-6800

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1003839374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106802",
            "telephone_number": "212-260-6505",
            "fax_number": "212-260-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106802",
            "telephone_number": "212-260-6505",
            "fax_number": "212-260-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAJER",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "194807",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "194807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.