NPIMap

Individual provider Active NPI

Shahram Majidi, M.D.

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1073956264
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
293068 Issued in NY
Practice address
1450 Madison Ave # 1-North
New York, NY 10029-6508
Phone
(212) 241-9862
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 293068 NY
Neuroradiology Physician 2085N0700X 293068 NY
Neurological Surgery Physician 207T00000X 293068 NY Primary

Addresses

Primary practice location

1450 Madison Ave # 1-North
New York, NY 10029-6508

Mailing address

1450 Madison Avenue, Box 1136
New York, NY 10029-6574
Phone (212) 241-9862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200501000718 NY Practitioner - NeurologyPractitioner - NeurosurgeryPractitioner - Diagnostic Radiology 7113271263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Diagnostic Radiology, Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
Icahn School of Medicine at Mount SinaiGroup PAC ID 8224282926, 317 clinicians

Practice addresses (Care Compare)

1 Gustave Levy Place
New York, NY 10029-6500
Phone (212) 731-6761

10 Union SQ E
New York, NY 10003-3314
Phone (212) 844-6922

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 731-6761

1010 N Broadway
Yonkers, NY 10701-1330
Phone (212) 731-6761

5 E 98TH St
FL 7
New York, NY 10029-6501
Phone (212) 731-6761

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai West Hospital, New York, NY, CCN 330046
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293068NYMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 27, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Vascular Neurology CurrentSince Mar 11, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 11, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Neurological Surgery CurrentSince Mar 27, 2020 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Dec 21, 2024 Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

13620 38th Ave
Ste 5F
Flushing, NY 11354
Phone (347) 909-7041

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1450 Madison Ave
#1136
New York, NY 10029
Phone (212) 214-3400

1450 Madison Ave
#1
New York, NY 10029
Phone (212) 241-2763

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: smajidi853694@nychhc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1073956264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MADISON AVENUE, BOX 1136",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-9862",
            "fax_number": "646-537-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MADISON AVE # 1-NORTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296508",
            "telephone_number": "212-241-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJIDI",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "293068",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "293068",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "293068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.