Organization Active NPI

Azadeh Beheshtian MD PLLC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1366948978
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
AZADEH BEHESHTIAN MD PLLC
Practice address
15 Park Ave
New York, NY 10016-4348
Phone
(347) 695-4225
Fax
(833) 224-5817
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Azadeh Beheshtian, MDNPI 1508136276
Title
Owner
Phone
(415) 999-3090

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

15 Park Ave
New York, NY 10016-4348

Mailing address

15 Park Ave
New York, NY 10016-4348
Phone (347) 695-4225

Other practice location 1

299 Forest Ave Ste A
Paramus, NJ 07652-5400
Phone (347) 695-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200521002012 NY Part B Supplier - Clinic/Group Practice 1254752553 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

6 E 45th St
Fl 9
New York, NY 10017
Phone (347) 558-4094

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1366948978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164348",
            "telephone_number": "347-695-4225",
            "fax_number": "833-224-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164348",
            "telephone_number": "347-695-4225",
            "fax_number": "833-224-5817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Forest Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076525400",
            "country_code": "US",
            "telephone_number": "347-695-4225",
            "fax_number": "833-224-5817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZADEH BEHESHTIAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "BEHESHTIAN",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-999-3090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.