Active NPI
Sepideh Besharati, MD
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 326207-01
- Practice address
- 622 W 168TH St
Vanderbilt Clinic Building/14-239
New York, NY 10032 - Phone
- (301) 655-6141
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 326207-01 | NY | Primary |
Addresses
Primary practice location
622 W 168TH St
Vanderbilt Clinic Building/14-239
New York, NY 10032
Mailing address
1685 Bergen Blvd Apt 703
Fort Lee, NJ 07024-2198
Phone (301) 655-6141
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 |
|---|---|---|---|
| 326207-01 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients |
Locations
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
Bldg 14239
New York, NY 10032
Phone (301) 655-6141
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 1564
New York, NY 10032
Phone (212) 305-7399
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
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-
- Anesthesiology Physician
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- NPI 1063525152
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Anatomic Pathology & Clinical Pathology
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1083233340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1685 BERGEN BLVD APT 703",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242198",
"telephone_number": "301-655-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"address_2": "VANDERBILT CLINIC BUILDING/14-239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "301-655-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESHARATI",
"first_name": "SEPIDEH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "326207-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.