Active NPI
Parandis Nejati, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Nesconset, NY
National Provider Identifier
1356127567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 063155
- Practice address
- 62 Lake Ave S Ste a
Nesconset, NY 11767-1094 - Phone
- (631) 658-5395
- NPI assigned
- Sep 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 063155 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 063155 | NY | Primary |
Addresses
Primary practice location
62 Lake Ave S Ste a
Nesconset, NY 11767-1094
Mailing address
PO Box 483
West Hempstead, NY 11552-0483
Phone (516) 515-1068
Other practice location 1
3905 61st St
Woodside, NY 11377-3566
Phone (718) 577-5096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063155 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1356127567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 483",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115520483",
"telephone_number": "516-515-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 LAKE AVE S STE A",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117671094",
"telephone_number": "631-658-5395"
}
],
"practiceLocations": [
{
"address_1": "3905 61st St",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113773566",
"country_code": "US",
"telephone_number": "718-577-5096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEJATI",
"first_name": "PARANDIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063155",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "063155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nesconset, NY
- Yvonne Moeller, RN
- Vinessa Ann Monaco, RN
- Stephanie Charis Moore
- Morning Star Home Health Agency, Inc
- Mount Sinai North Shore Medical Group (North Shore Medical Group)
- Nesconset Acquisition, LLC (Nesconset Center for Nursing & Rehabilitation)
- Nesconset Dental Associates
- Nesconset Dental Associates
- Nesconset Fire District
- Nesconset Medical Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.