Kaveh Alizadeh MD of Long Island, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

KAVEH ALIZADEH MD OF LONG ISLAND, PC

Practice address

500 N Broadway Ste 200
Jericho, NY 11753-2128

Phone

(516) 439-5009

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Jordan R Salahi

Title

Practice Administrator

Phone

(908) 490-0036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1104345784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PARK PL # 298",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N BROADWAY STE 200",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532128",
            "telephone_number": "516-439-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVEH ALIZADEH MD OF LONG ISLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "SALAHI",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "908-490-0036"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PESONAL NPI",
            "identifier": "1265868434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale Sharon Kassan, LMSW
• Demi Katehis
• Alyssa Katz
• Jacob Kaufman
• Iqnoor Deep Kaur
• Inho Stephen Kay, M.D.
• Lauren Kaye
• Jeffrey David Kent, M.D.
• Enoch Ki
• Kidsperfect PT PC

• Plastic Surgery Physician in Jericho, NY
• Providers in Jericho, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.