Roya Mukhtarzad, D.O.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

244767 Issued in NY

Practice address

86 East 49TH Street
Suite D
Brooklyn, NY 11203

Phone

(718) 604-5000

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rajanish M Bobde Medical LLCGroup PAC ID 8123342235, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St John's Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Rajanish M Bobde Medical LLC

  • Infectious Disease Physician
  • Yonkers, NY
  • NPI 1851797708
  Medicare reassignment Care Compare group NPD
• Janice Prime Care Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1275752750
  NPD (past)
• S.K. Bhuiyan Physician, PC

  • Ophthalmology Physician
  • Elmhurst, NY
  • NPI 1588752752
  NPD (past)
• Sherry Shahrzad Nazarian D.P.M. P.C.

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1982836334
  NPD (past)
• Suman Chandra Ravuri, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1750445771
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. John's Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1275730087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E 57TH ST",
            "address_2": "#4E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222909",
            "telephone_number": "917-406-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 EAST 49TH STREET",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-604-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHTARZAD",
        "first_name": "ROYA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "244767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02903024",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE NUMBER",
            "identifier": "244767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sushanta Kumar Mukherjee, M.D.
• Rajat K Mukherji, M.D.
• Mamura Mukhidinova
• Pavel Mukhin
• Yelda Mukhtar
• Jordan Mukisa, MD
• Mukta Mukta, NP
• Sharda Mukunda, M.D.
• Unami K Mulale, MD
• Biniyam Simeneh Mulatu, M.D

• Infectious Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.