Individual provider Active NPI

Azadeh Nasiri, MD

  • Obstetrics Physician
  • Williston Park, NY
National Provider Identifier
1306297254
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
302269 Issued in NY
Practice address
2 Hillside Ave
Williston Park, NY 11596-2392
Phone
(516) 280-3980
Fax
(718) 380-3736
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 302269 NY Primary

Addresses

Primary practice location

2 Hillside Ave
Williston Park, NY 11596-2392

Mailing address

2 Hillside Ave Ste G
Williston Park, NY 11596-2335
Phone (516) 280-3980

Other names 1

  • Dr. Azadeh Nasiri Professional name

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
I20210202000333 NY Practitioner - Obstetrics/Gynecology 0840541967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare for All Women OB/GYN PLLCGroup PAC ID 7810137056, 2 clinicians

Practice addresses (Care Compare)

7822 166TH St
Fresh Meadows, NY 11366-1235
Phone (718) 877-8692

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 8, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 8, 2025 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
True Health Medical PC Past Accepting new patients
Sarita Khatri MD OB-GYN PC Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1010 Northern Blvd
Ste 136
Great Neck, NY 11021
Phone (516) 367-0747

833 Northern Blvd
Ste 100
Great Neck, NY 11021
Phone (516) 464-0241

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1306297254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HILLSIDE AVE STE G",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962335",
            "telephone_number": "516-280-3980",
            "fax_number": "718-380-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962392",
            "telephone_number": "516-280-3980",
            "fax_number": "718-380-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIRI",
        "first_name": "AZADEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "302269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZADEH",
            "last_name": "NASIRI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Williston Park, NY

Sources for this page

Verify at the official NPI Registry.