NPIMap

Individual provider Active NPI

Marjon Mobasseri

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1164842993
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
294228 Issued in NY
Practice address
110 E 40TH St RM 801
New York, NY 10016-1801
Phone
(212) 725-6060
NPI assigned
Apr 19, 2014
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 294228 NY Primary

Addresses

Primary practice location

110 E 40TH St RM 801
New York, NY 10016-1801

Mailing address

175 E 96TH St Apt 21B
New York, NY 10128-6210
Phone (216) 534-8982

Other practice location 1

1004 S Byrne Rd
apt 18
Toledo, OH 43609-1040
Phone (216) 534-8982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701001888 NY Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 9335540095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Hospitalist
Education
University of Toledo College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

259 1St St
Mineola, NY 11501-3957
Phone (516) 663-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294228NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2023 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
Rosh Maternal Fetal Medicine PLLC Obstetrics & Gynecology CurrentSince Feb 23, 2021 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

110 E 40th St
New York, NY 10016
Phone (212) 434-4050

110 E 40th St
Rm 801
New York, NY 10016
Phone (212) 249-3939

213 Madison Ave
Ste 1A
New York, NY 10016

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21664/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mmobasseri263876@nyumc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1164842993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E 96TH ST APT 21B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286210",
            "telephone_number": "216-534-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 40TH ST RM 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161801",
            "telephone_number": "212-725-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 S Byrne Rd",
            "address_2": "apt 18",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436091040",
            "country_code": "US",
            "telephone_number": "216-534-8982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBASSERI",
        "first_name": "MARJON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-19",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "294228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.