Individual provider Active NPI

Mozhgan Erfanian Sabaee, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1063889541
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
277966 Issued in NY
Practice address
4708 5TH Ave
Brooklyn, NY 11220-1210
Phone
(718) 576-2959
Fax
(718) 228-4240
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 277966 NY
Family Medicine Physician 207Q00000X 277966 NY Primary

Addresses

Primary practice location

4708 5TH Ave
Brooklyn, NY 11220-1210

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

315 Gates Ave Apt 3A
Brooklyn, NY 11216-6226
Phone (347) 432-2427

Other practice location 2

315 Gates Ave Apt 3A
Brooklyn, NY 11216-6226
Phone (347) 432-2427

Other practice location 3

30 Broad St Fl 45
New York, NY 10004
Phone (212) 530-0630

Other practice location 4

4405 Broadway
New York, NY 10040-4014
Phone (212) 740-2020

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
I20190408000230 NY Practitioner - Family Practice 7113268830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians

Practice addresses (Care Compare)

4405 Broadway
New York, NY 10040-4014
Phone (212) 740-2020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277966NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Mount Sinai School of Medicine Family Medicine CurrentSince Apr 8, 2019 Accepting new patients
Griffin Myers Medical, P.C. Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

4708 5th Ave
Brooklyn, NY 11220
Phone (718) 576-2959

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

4405 Broadway
New York, NY 10040
Phone (212) 740-2020

30 Broad St
Fl 45
New York, NY 10004
Phone (212) 530-0630

30 Broad St
Fl 45
New York, NY 10004
Phone (212) 530-0630

Networks

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

Interoperability endpoints

  • Direct secure messaging: mozhganerfaniansabaee@mai.allscriptsdirect.net

Organizations & group practices 4

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1063889541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201210",
            "telephone_number": "718-576-2959",
            "fax_number": "718-228-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Gates Ave Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112166226",
            "country_code": "US",
            "telephone_number": "347-432-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Gates Ave Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112166226",
            "country_code": "US",
            "telephone_number": "347-432-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Broad St Fl 45",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10004",
            "country_code": "US",
            "telephone_number": "212-530-0630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100404014",
            "country_code": "US",
            "telephone_number": "212-740-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERFANIAN SABAEE",
        "first_name": "MOZHGAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "277966",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "277966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.