Individual provider Active NPI

Tasleema Ahmadi, NP

  • Gerontology Nurse Practitioner
  • Oceanside, NY
National Provider Identifier
1245076520
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
311806 Issued in NY
Practice address
1 Healthy Way
Oceanside, NY 11572-1551
Phone
(516) 536-1455
NPI assigned
Jul 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 311806 NY Primary

Addresses

Primary practice location

1 Healthy Way
Oceanside, NY 11572-1551

Mailing address

179 Nassau LN
Island Park, NY 11558-1011
Phone (347) 722-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, FL, NJ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20241114003851 NY Practitioner - Nurse Practitioner 7517491426 Reassigns benefits to 2 organizations
I20251007000724 TN Practitioner - Nurse Practitioner 7517491426 Reassigns benefits to 1 organization
I20260122004346 FL Practitioner - Nurse Practitioner 7517491426 Reassigns benefits to 1 organization
I20260410001327 NJ Practitioner - Nurse Practitioner 7517491426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multiviz Medical Services PC 26 clinicians

Practice addresses (Care Compare)

329 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (615) 244-6900

415 Southern Blvd
Chatham, NJ 07928-1488
Phone (718) 327-7307

529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

7300 Del Prado Cir S
Boca Raton, FL 33433-3386
Phone (561) 392-3000

Hospital & facility affiliations

  • Andrus on Hudson Nursing home, Hastings on Hudson, NY, CCN 335795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311806NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Dec 2, 2024 Accepting new patients
Multiviz Medical Services PC CurrentSince Apr 1, 2025 Accepting new patients
Abiola Familusi PastSince Apr 1, 2025 Accepting new patients
Rockaway HD LLC Past Accepting new patients

Locations

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

415 Southern Blvd
Chatham, NJ 07928
Phone (201) 259-8134

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

529 Beach 20th St
Ste 1
Far Rockaway, NY 11691
Phone (718) 327-4503

300 Garden City Plz
Ste 418
Garden City, NY 11530
Phone (516) 481-7050

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1 Research Rd
Ridge, NY 11961

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1245076520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 NASSAU LN",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581011",
            "telephone_number": "347-722-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-536-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "TASLEEMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "311806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.