Individual provider Active NPI

Ahmad Latefi, DO

  • Neurological Surgery Physician
  • Greenvale, NY
National Provider Identifier
1215220405
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
261751 Issued in NY
Practice address
2200 Northern Blvd Ste 230
Greenvale, NY 11548-1227
Phone
(516) 224-6150
Fax
(631) 337-7698
NPI assigned
May 20, 2011
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 261751 NY Primary

Addresses

Primary practice location

2200 Northern Blvd Ste 230
Greenvale, NY 11548-1227

Mailing address

2200 Northern Blvd Ste 230
Greenvale, NY 11548-1227
Phone (516) 224-6150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000174 NY Practitioner - Neurosurgery 7719156173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1175 Montauk Hwy
Suite 6
West Islip, NY 11795-4939
Phone 8337746333607

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion57
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmad Latefi DO PLLC Neurological Surgery CurrentSince Jun 1, 2023 Accepting new patients

Locations

2200 Northern Blvd
Ste 230
Greenvale, NY 11548
Phone (516) 224-6150

1175 Montauk Hwy
Ste 6
West Islip, NY 11795
Phone (631) 422-5371

Interoperability endpoints

  • Direct secure messaging: ahmadlatefi@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

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 2

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1215220405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 230",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481227",
            "telephone_number": "516-224-6150",
            "fax_number": "516-407-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 230",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481227",
            "telephone_number": "516-224-6150",
            "fax_number": "631-337-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATEFI",
        "first_name": "AHMAD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "261751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

Verify at the official NPI Registry.