NPIMap

Individual provider Active NPI

Negin Gohari, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Great Neck, NY
National Provider Identifier
1104055748
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
259623 Issued in NY
Practice address
4 Franklin PL
Great Neck, NY 11023-1211
Phone
(917) 715-1003
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 259623 NY Primary

Addresses

Primary practice location

4 Franklin PL
Great Neck, NY 11023-1211

Mailing address

4 Franklin PL
Great Neck, NY 11023-1211
Phone (917) 715-1003

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
I20130522000219 NY Practitioner - Physical Medicine and Rehabilitation 8628216108 Reassigns benefits to 2 organizations
Practice locations: Valhalla, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians
Wihd IncGroup PAC ID 7618917907, 33 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

20 Hospital Oval W
Valhalla, NY 10595-1536
Phone (914) 493-8208

20 Hospital Oval W
Valhalla, NY 10595-1571

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Westchester Medical Center Inpatient rehabilitation facility, Valhalla, NY, CCN 33T234
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259623NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC Physical Medicine & Rehabilitation Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 1, 2013 Accepting new patients
Rehabilitation Medicine P.C. Physical Medicine & Rehabilitation Current Accepting new patients
Wihd Inc CurrentSince Jul 15, 2014 Accepting new patients
Westchester Medical Center Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 2100N
Hawthorne, NY 10532
Phone (914) 493-8375

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

61 Grasslands Rd
Valhalla, NY 10595
Phone (914) 681-8400

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

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 4

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1104055748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRANKLIN PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231211",
            "telephone_number": "917-715-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FRANKLIN PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231211",
            "telephone_number": "917-715-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHARI",
        "first_name": "NEGIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "259623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.