Individual provider Active NPI

David Mostafavi, M.D.

  • Ophthalmology Physician
  • Staten Island, NY
National Provider Identifier
1144453671
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
259985 Issued in NY
Practice address
3860 Victory Blvd
Staten Island, NY 10312
Phone
(718) 370-2222
NPI assigned
Sep 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 259985 NY Primary

Addresses

Primary practice location

3860 Victory Blvd
Staten Island, NY 10312

Mailing address

3860 Victory Blvd
Staten Island, NY 10312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140219000517 NY Practitioner - OphthalmologyPractitioner - Internal Medicine 9739318692 Reassigns benefits to 2 organizations
I20220502000328 NJ Practitioner - Ophthalmology 9739318692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Internal Medicine
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians
Mostafavi Eye LLCGroup PAC ID 2567859002, 3 clinicians
R Mostafavi MD Ophthamologist PCGroup PAC ID 7911066501, 5 clinicians

Practice addresses (Care Compare)

1058 Forest Ave
Staten Island, NY 10310-2419
Phone (718) 818-1058

300 Witherspoon St
Suite 203
Princeton, NJ 08542-3401
Phone (609) 480-6698

355 Bard Ave
Staten Island, NY 10310-1664

3860 Victory Blvd
Staten Island, NY 10314-6720
Phone (718) 370-2222

4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658

Hospital & facility affiliations

  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259985NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mostafavi Eye LLC Ophthalmology CurrentSince Mar 8, 2022 Accepting new patients
R Mostafavi MD Ophthamologist PC Ophthalmology CurrentSince Jul 20, 2013 Accepting new patients
Noreen Kamal-Mostafavi MD PLLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

300 Witherspoon St
Ste 203
Princeton, NJ 08542
Phone (609) 480-6698

3860 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2222

445 Clawson St
Staten Island, NY 10306
Phone (718) 351-0525

Networks

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

Interoperability endpoints

  • Direct secure messaging: dm@mostafavieyeprinceton.direct.eyemdemr.com
  • Direct secure messaging: david.mostafavi.1@19656.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1144453671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-370-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFAVI",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "259985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.