Active NPI
Moshe H Shirazi MD PLLC
- Internal Medicine Physician
- Plainview, NY
National Provider Identifier
1174707251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 196396
- Legal business name
- MOSHE H SHIRAZI MD PLLC
- Practice address
- 700 Old Country Rd
Suite 202
Plainview, NY 11803 - Phone
- (516) 433-4828
- Fax
- (516) 433-1895
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farhad H Shirazi, MD
- Title
- Owner
- Phone
- (516) 433-4828
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 196396 | NY | Primary |
Addresses
Primary practice location
700 Old Country Rd
Suite 202
Plainview, NY 11803
Mailing address
700 Old Country Rd
Suite 202
Plainview, NY 11803
Phone (516) 433-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01837278 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0978163 | Moshe Shirazi MD | Certificate of waiver | Sep 17, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Plainview, NY
- NPI 1215000914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285545600000",
"number": "1174707251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 OLD COUNTRY RD",
"address_2": "SUITE 202",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-433-4828",
"fax_number": "516-433-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OLD COUNTRY RD",
"address_2": "SUITE 202",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-433-4828",
"fax_number": "516-433-1895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSHE H SHIRAZI MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2010-09-27",
"status": "A",
"authorized_official_last_name": "SHIRAZI",
"authorized_official_first_name": "FARHAD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-433-4828",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "196396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01837278",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.