Kashyar Khodabakhsh M.D.P.C.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

NYS258356 Issued in NY

Legal business name

KASHYAR KHODABAKHSH M.D.P.C.

Practice address

260 Middle Neck Rd Apt 1E
Great Neck, NY 11021-1159

Phone

(516) 487-5044

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Rachel Mizrahi

Title

Manager

Phone

(516) 487-5044

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharona Shayestehpour

  • Oxygen Equipment & Supplies (DME)
  • Great Neck, NY
  • NPI 1548069016
  NPD (past)
• Scott Warantz

  • Durable Medical Equipment & Medical Supplies
  • Great Neck, NY
  • NPI 1548036726
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1164940490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NORTHERN BLVD STE 300",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDDLE NECK RD APT 1E",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211159",
            "telephone_number": "516-487-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHYAR KHODABAKHSH M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-487-5044"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "NYS258356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debi Ellen Karlinsky, LMSW
• Nechama Esther Karman, PT
• Susan Karol, RN,CDE
• Rachel Stephanie Kashan, M.A.
• Payam Arabzadeh Kashani, D.D.S.
• Lawrence Kasten, M.A., LMHC
• Kathy Kahn-Brandes MD PLLC
• Simona Chadi Katsman, DO
• Katz Pugach and Needelman MDS PC
• Austen David Katz, MD

• Neurology with Special Qualifications in Child Neurology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.