Active NPI
Nazifa Bakhtari, PA
- Physician Assistant
- Elmhurst, NY
National Provider Identifier
1114562592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024303
- Practice address
- 7802 41St Ave
Elmhurst, NY 11373 - Phone
- (718) 334-4000
- NPI assigned
- Nov 9, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 024303 | NY | Primary |
Addresses
Primary practice location
7802 41St Ave
Elmhurst, NY 11373
Mailing address
7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-2772
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024303 | NY | MD | Intellectual & Developmental Disabilities Psychologist |
Interoperability endpoints
- nbakhtari1125976@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1114562592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-2772",
"fax_number": "718-334-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7802 41ST AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-334-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKHTARI",
"first_name": "NAZIFA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-09",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.