Organization Active NPI

Ahmad Latefi DO PLLC

  • Neurological Surgery Physician
  • Greenvale, NY
National Provider Identifier
1285370106
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
AHMAD LATEFI DO PLLC
Practice address
2200 Northern Blvd Ste 230
Greenvale, NY 11548-1227
Phone
(516) 224-6150
Fax
(516) 407-5001
NPI assigned
May 12, 2022
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Ahmad LatefiNPI 1215220405
Title
Surgeon
Phone
(516) 224-6150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230525002197 NY Part B Supplier - Clinic/Group Practice 1951767417 Receives reassigned benefits from 1 practitioner
Practice locations: West Islip, NY

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1285370106",
    "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": "516-407-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD LATEFI DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "LATEFI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "516-224-6150"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.