Individual provider Active NPI

Mahyar Ghanaat, M.D.

  • Diagnostic Radiology Physician
  • Great Neck, NY
National Provider Identifier
1013234368
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
279105 Issued in NY
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170123000009 NY Practitioner - Diagnostic Radiology 1254613557 Reassigns benefits to 4 organizations
I20240103000878 NJ Practitioner - Diagnostic Radiology 1254613557 Reassigns benefits to 2 organizations

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
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

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

LicenseStateTypeSpecialty
25MA10782500NJMDNeuroradiology Physician
279105NYMDNeuroradiology Physician
MD459328PAMDNeuroradiology Physician
ETL4945MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Chautauqua at Wca CurrentSince Oct 28, 2023 Accepting new patients
Upmc Chautauqua at Wca Current Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Oct 28, 2023 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince May 26, 2026 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Nov 28, 2023 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Nov 28, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.