Individual provider Active NPI

Mehrdad Golzad, M.D.

  • Specialist
  • Elmhurst, NY
National Provider Identifier
1306813597
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NY:202459-1 Issued in NY
Practice address
9131 Queens Blvd
Elmhurst, NY 11373-5555
Phone
(718) 454-2222
Fax
(718) 264-0257
NPI assigned
Mar 7, 2006
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY:202459-1 NY Primary

Addresses

Primary practice location

9131 Queens Blvd
Elmhurst, NY 11373-5555

Mailing address

116 Sandford St
Brooklyn, NY 11205-2987
Phone (718) 454-2222

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
I20100408000441 NY Practitioner - Neurology 0547396053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyc Medical and Neurological Offices, P.C.Group PAC ID 5395871891, 2 clinicians

Practice addresses (Care Compare)

9131 Queens Blvd
Elmhurst, NY 11373-5555
Phone (718) 454-2222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NY:202459-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Medical & Neurological Offices, P.C. CurrentSince Apr 30, 1997 Accepting new patients
Astoria Neurological Associates Specialist CurrentSince Dec 1, 2024 Accepting new patients
PMGT Medical and Surgical Associates LLP Specialist CurrentSince Dec 1, 2024 Accepting new patients

Locations

142 Joralemon St
Fl 2
Brooklyn, NY 11201
Phone (718) 454-2222

9131 Queens Blvd
Flushing, NY 11373
Phone (718) 454-2222

55 W 39th St
Rm 15N
New York, NY 10018
Phone (315) 816-4777

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1306813597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SANDFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052987",
            "telephone_number": "718-454-2222",
            "fax_number": "718-264-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735555",
            "telephone_number": "718-454-2222",
            "fax_number": "718-264-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLZAD",
        "first_name": "MEHRDAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "NY:202459-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.