Active NPI
Alec Ebraim Vaezi, M.D., PH.D.
- Otolaryngology Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 253792
- Practice address
- 120 Mineola Blvd Ste 320
Mineola, NY 11501-4077 - Phone
- (516) 663-2436
- Fax
- (516) 663-2780
- NPI assigned
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A105098 | CA | |
| Otolaryngology Physician | 207Y00000X | MT183380 | PA | |
| Otolaryngology Physician | 207Y00000X | 301004 | NY | |
| Otolaryngology Physician | 207Y00000X | 253792 | MA | Primary |
Addresses
Primary practice location
120 Mineola Blvd Ste 320
Mineola, NY 11501-4077
Mailing address
120 Mineola Blvd Ste 320
Mineola, NY 11501-4077
Phone (516) 663-2436
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05858562 | Medicaid | NY | |
| 110095099A | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | avaezi319152@nyumc.direct-ci.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
1300 Franklin Ave
Suite Ul3Aandb
Garden City, NY 11530-1886
Phone (516) 747-8900
259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 13 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Melanoma (skin cancer) excision | 46 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105098 | CA | MD | Otolaryngology Physician |
| 253792 | MA | MD | Otolaryngology Physician |
| MT183380 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Otolaryngology | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
120 Mineola Blvd
Ste 320
Mineola, NY 11501
Phone (516) 663-3300
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- avaezi319152@nyumc.direct-ci.com
- avaezi1262616@nychhc.direct-ci.com
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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Otolaryngology
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NYU Langone Home Health Care
- Home Health Agency
- Mineola, NY
- NPI 1215931811
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1154570679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD STE 320",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014077",
"telephone_number": "516-663-2436",
"fax_number": "516-663-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MINEOLA BLVD STE 320",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014077",
"telephone_number": "516-663-2436",
"fax_number": "516-663-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAEZI",
"first_name": "ALEC",
"middle_name": "EBRAIM",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A105098",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MT183380",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "301004",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "253792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05858562",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110095099A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "avaezi319152@nyumc.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 Mineola Blvd Ste 320",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115014077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.