Active NPI
Kourosh Ashourzadeh, DO
- Pediatrics Physician
- Levittown, NY
National Provider Identifier
1386826675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 187333
- Practice address
- 37 Meridian Rd
Levittown, NY 11756-4239 - Phone
- (516) 796-4433
- NPI assigned
- Nov 29, 2007
- Last updated
- May 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 187333 | NY | Primary |
Addresses
Primary practice location
37 Meridian Rd
Levittown, NY 11756-4239
Mailing address
37 Meridian Rd
Levittown, NY 11756-4239
Phone (516) 796-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01447841 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187333 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethpage Medical Wellness PC | Past | Accepting new patients | |
| Caring Hospitalist Li Medical PC | Past | Accepting new patients | |
| Caring Pediatric Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kashourzadeh43963@nyumc.direct-ci.com
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.
-
- Adolescent Medicine (Internal Medicine) Physician
- Great Neck, NY
- NPI 1407295108
-
dba Kourosh Ashourzadeh DO PC
- Pediatrics Physician
- Levittown, NY
- NPI 1952332504
-
- Internal Medicine Physician
- Bethpage, NY
- NPI 1578813838
-
- Internal Medicine Physician
- Great Neck, NY
- NPI 1649897398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1386826675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MERIDIAN RD",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117564239",
"telephone_number": "516-796-4433",
"fax_number": "516-796-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MERIDIAN RD",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117564239",
"telephone_number": "516-796-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHOURZADEH",
"first_name": "KOUROSH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "187333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01447841",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.