Individual provider Active NPI

Saman Mehdi

  • Specialist
  • Valley Stream, NY
National Provider Identifier
1073219366
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1626 Putney Rd
Valley Stream, NY 11580-1818
Phone
(718) 618-5075
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Specialist 174400000X Primary

Addresses

Primary practice location

1626 Putney Rd
Valley Stream, NY 11580-1818

Mailing address

18902 64TH Ave Apt 11E
Fresh Meadows, NY 11365-3834
Phone (718) 666-8233

Other practice location 1

506 Gravesend Neck Rd
Brooklyn, NY 11223-4847
Phone (917) 392-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1073219366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18902 64TH AVE APT 11E",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653834",
            "telephone_number": "718-666-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801818",
            "telephone_number": "718-618-5075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Gravesend Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112234847",
            "country_code": "US",
            "telephone_number": "917-392-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHDI",
        "first_name": "SAMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.