Active NPI
Noreen Kamal-Mostafavi, MD
- Obstetrics & Gynecology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 27741821
- Practice address
- 3860 Victory Blvd FL 1
Staten Island, NY 10314-6720 - Phone
- (718) 370-2222
- Fax
- (718) 351-0311
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA09580200 | NJ | |
| Obstetrics & Gynecology Physician | 207V00000X | 27741821 | NY | Primary |
Addresses
Primary practice location
3860 Victory Blvd FL 1
Staten Island, NY 10314-6720
Mailing address
14 Bleeker PL
Staten Island, NY 10314-3727
Phone (201) 978-7146
Other practice location 1
1033 US Highway 46 Ste 105
Clifton, NJ 07013-2448
Phone (201) 978-7146
Other names 1
- Dr. Noreen Kamal
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181114001362 | NY | Practitioner - Obstetrics/Gynecology | 9335493121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09580200 | NJ | MD | Obstetrics & Gynecology Physician |
| 27741821 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Mostafavi MD Ophthamologist PC | Current | Accepting new patients | |
| Elite Gynecology, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3860 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2222
3860 Victory Blvd
#1
Staten Island, NY 10314
Phone (718) 370-2222
445 Clawson St
Staten Island, NY 10306
Phone (718) 351-0525
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- noreenkamalmostafavi.noreenkamalmostafavi@142034.advancedmd-direct.com
- nkamalmostafavi67318@northwell.direct-ci.com
- nkamal189826@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Clifton, NJ
- NPI 1255875183
-
- Ophthalmology Physician
- Staten Island, NY
- NPI 1851540488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1073748018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BLEEKER PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143727",
"telephone_number": "201-978-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 VICTORY BLVD FL 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146720",
"telephone_number": "718-370-2222",
"fax_number": "718-351-0311"
}
],
"practiceLocations": [
{
"address_1": "1033 US Highway 46 Ste 105",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070132448",
"country_code": "US",
"telephone_number": "201-978-7146",
"fax_number": "718-370-2223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMAL-MOSTAFAVI",
"first_name": "NOREEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA09580200",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "27741821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOREEN",
"last_name": "KAMAL",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.