Active NPI
Maryam Akbari, D.M.D, M.P.H, M.D
- Surgery Physician
- Watertown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 312294
- Practice address
- 49 Edgecliff Rd
Watertown, MA 02472-3545 - Phone
- (617) 866-8672
- NPI assigned
- May 2, 2015
- Last updated
- Mar 17, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040260 | PA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 062309 | NY | |
| Surgery Physician | 208600000X | 312294 | NY | Primary |
Addresses
Primary practice location
49 Edgecliff Rd
Watertown, MA 02472-3545
Mailing address
49 Edgecliff Rd
Watertown, MA 02472-3545
Phone (617) 866-8672
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040260 | PA | MD | Dentist |
| 062309 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 312294 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mount Sinai Elmhurst Faculty practice Group
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
dba Elmhurst Hospital Center
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
Oral and Maxillofacial Surgery
-
dba Lincoln Medical And Mental Health Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1083091664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 EDGECLIFF RD",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723545",
"telephone_number": "617-866-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 EDGECLIFF RD",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723545",
"telephone_number": "617-866-8672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKBARI",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "D.M.D, M.P.H, M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-02",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040260",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "062309",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "312294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.