Active NPI
Mahyar Ghanaat, M.D.
- Diagnostic Radiology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 279105
- Practice address
- 15 Beach Rd
Apt 1S
Great Neck, NY 11023-1143 - Phone
- (631) 444-5544
- NPI assigned
- Apr 27, 2010
- Last updated
- Jan 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | ETL4945 | MA | |
| Neuroradiology Physician | 2085N0700X | 279105 | NY | |
| Neuroradiology Physician | 2085N0700X | MD459328 | PA | |
| Neuroradiology Physician | 2085N0700X | 25MA10782500 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | ETL4945 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 279105 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD459328 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA10782500 | NJ |
Addresses
Primary practice location
15 Beach Rd
Apt 1S
Great Neck, NY 11023-1143
Mailing address
8 Kings CT
Kings Point, NY 11024-1618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of New York Downstate Medical Center, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141
8 Kings CT
Kings Point, NY 11024-1618
Phone (845) 431-4544
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10782500 | NJ | MD | Neuroradiology Physician |
| 279105 | NY | MD | Neuroradiology Physician |
| MD459328 | PA | MD | Neuroradiology Physician |
| ETL4945 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Chautauqua at Wca | Current | Accepting new patients | |
| Upmc Chautauqua at Wca | Current | Accepting new patients | |
| Zwanger & Pesiri Radiology Group, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Upmc Chautauqua at Wca | Current | Accepting new patients | |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Coaxion PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Robert Wood Johnson Medical Associates | Current | Accepting new patients |
Locations
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#B2
Newark, NJ 07112
Phone (973) 926-7960
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693
150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757
150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757
126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614
Interoperability endpoints
- mghanaat515922@upmc.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UPMC Chautauqua WCA
- Hematology & Oncology Physician
- Jamestown, NY
- NPI 1295033298
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1477523413
-
- Hospitalist Physician
- New Brunswick, NJ
- NPI 1902848625
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Diagnostic Radiology, NY
-
dba UPMC Chautauqua WCA
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1629805221
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1598260515
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
dba UPMC Chautauqua WCA
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
dba UPMC Chautauqua WCA
- General Acute Care Hospital
- Jamestown, NY
- NPI 1770573222
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1013234368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 KINGS CT",
"city": "KINGS POINT",
"state": "NY",
"postal_code": "110241618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BEACH RD",
"address_2": "APT 1S",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231143",
"telephone_number": "631-444-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANAAT",
"first_name": "MAHYAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-27",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MA",
"license": "ETL4945",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "279105",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "MD459328",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NJ",
"license": "25MA10782500",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "ETL4945",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "279105",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD459328",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA10782500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.