Individual provider Active NPI

Shahram Razmzan, M.D

  • Obstetrics & Gynecology Physician
  • Yonkers, NY
National Provider Identifier
1144356668
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
169981 Issued in NY
Practice address
1084 N Broadway
Yonkers, NY 10701-1107
Phone
(914) 848-8640
Fax
(914) 848-8641
NPI assigned
Feb 26, 2007
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 169981 NY Primary

Addresses

Primary practice location

1084 N Broadway
Yonkers, NY 10701-1107

Mailing address

2700 Westchester Ave FL 2
Purchase, NY 10577-2547
Phone (914) 607-5730

Other identifiers 11

IdentifierTypeStateIssuer
000000045332OtherNYGHI HMO
03E602OtherNYEMPIRE BCBS OF NY BROADWAY
0D4673OtherNYHEALTHNET
160006708OtherNYRAILROAD MEDICARE
WP552OtherNYOXFORD
0062693OtherNYGHI PPO
01025194MedicaidNY
0098155OtherNYAETNA HMO
03E601OtherNYEMPIRE BCBS OF NY YONKERS
169981OtherNYHIP
4216732OtherNYAETNA PPO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000244 NY Practitioner - Obstetrics/Gynecology 8729142583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

1084 N Broadway
Yonkers, NY 10701-1107
Phone (914) 848-8640

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
The Westchester Medical Group PC CurrentSince Jun 1, 2016 Accepting new patients
Westchester Medical Group, P.C. Obstetrics & Gynecology CurrentSince Jun 1, 2016 Accepting new patients
St. John's Riverside Hospital Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

2700 Westchester Ave
Fl 2
Purchase, NY 10577

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

1022 N Broadway
Yonkers, NY 10701
Phone (914) 963-0284

1084 N Broadway
Yonkers, NY 10701
Phone (914) 848-8000

656 Yonkers Ave
Yonkers, NY 10704
Phone (914) 476-8855

Networks

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

Interoperability endpoints

  • Direct secure messaging: shahram.razmzan.1@21260.direct.athenahealth.com
  • Direct secure messaging: srazmzan@hiemail.healtheconnections.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1144356668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE FL 2",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-607-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011107",
            "telephone_number": "914-848-8640",
            "fax_number": "914-848-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZMZAN",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "169981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000045332",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS OF NY BROADWAY",
            "identifier": "03E602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0D4673",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160006708",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WP552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0062693",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01025194",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0098155",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS OF NY YONKERS",
            "identifier": "03E601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "169981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4216732",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.