Active NPI
Sahar Movtady, D.P.M
- Primary Podiatric Medicine Podiatrist
- Roslyn, NY
National Provider Identifier
1184869968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N0066267-1
- Practice address
- 1514 Old Northern Blvd
Roslyn, NY 11576-1126 - Phone
- (516) 484-1420
- NPI assigned
- Dec 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N0066267-1 | NY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | N0066267-1 | NY |
Addresses
Primary practice location
1514 Old Northern Blvd
Roslyn, NY 11576-1126
Mailing address
1514 Old Northern Blvd
Roslyn, NY 11576-1126
Phone (516) 484-1420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0066267-1 | NY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1184869968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 OLD NORTHERN BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761126",
"telephone_number": "516-484-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 OLD NORTHERN BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761126",
"telephone_number": "516-484-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVTADY",
"first_name": "SAHAR",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N0066267-1",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N0066267-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.