Mesbah Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

261697 Issued in NY

Legal business name

MESBAH MEDICAL PC

Practice address

10 Walnut Dr
Roslyn, NY 11576-2333

Phone

(310) 922-2446

Fax

(718) 526-7438

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Reza Mesbah, MD

Title

President

Phone

(310) 922-2446

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1174962641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WALNUT DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762333",
            "telephone_number": "310-922-2446",
            "fax_number": "718-526-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WALNUT DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762333",
            "telephone_number": "310-922-2446",
            "fax_number": "718-526-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESBAH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MESBAH",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-922-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "261697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03375697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhoomi Mehrotra, MD
• Robert Mendelsohn, PH.D.
• Robin Mendelsohn, PH.D
• Jennifer Marie Mendocha, D.D.S.
• Celia Merritt, LCSW
• Beth Erica Broth Messinger, D.D.S.
• Meyer Abittan,MD,PC
• Stephen Andrew Mezzafonte, M.D.
• Geraldine Michel
• Dionisios G Mihalatos, M.D.

• Clinic/Center in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.