NPIMap

Individual provider Active NPI

Nahid K. Nainzadeh, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1104805415
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
127256 Issued in NY
Practice address
345 E 102ND St
Suite 215
New York, NY 10029-5611
Phone
(212) 241-5555
Fax
(212) 241-5658
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 127256 NY Primary

Addresses

Primary practice location

345 E 102ND St
Suite 215
New York, NY 10029-5611

Mailing address

345 E 102ND St
Suite 215
New York, NY 10029-5611
Phone (212) 241-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127256NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates PC Past Accepting new patients
Metropolitan Neurosurgery Associates, PC Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1104805415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 102ND ST",
            "address_2": "SUITE 215",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295611",
            "telephone_number": "212-241-5555",
            "fax_number": "212-241-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 102ND ST",
            "address_2": "SUITE 215",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295611",
            "telephone_number": "212-241-5555",
            "fax_number": "212-241-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAINZADEH",
        "first_name": "NAHID",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "127256",
            "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 Mar 8, 2010; 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.