NPIMap

Individual provider Active NPI

Soodabeh Zolfaghari, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1396907689
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
262791 Issued in NY
Practice address
2015 Grand Concourse
Suite B
Bronx, NY 10453-4303
Phone
(718) 618-0401
Fax
(718) 795-4394
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262791 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Suite B
Bronx, NY 10453-4303

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000543 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7214109107 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Medical Nyc PCGroup PAC ID 2567908924, 7 clinicians
Patriot MedicalGroup PAC ID 3870927197, 15 clinicians

Practice addresses (Care Compare)

4499 Manhattan College Pkwy
Bronx, NY 10471-3919
Phone (914) 236-4121

787 King St
Port Chester, NY 10573-1225
Phone (800) 750-8616

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Jan 1, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Nov 13, 2017 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Nov 13, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 1, 2015 Accepting new patients
Patriot Medical Nyc PC CurrentSince Aug 1, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Patriot Medical Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Apr 30, 2023 Accepting new patients
Medical Director Services PC CurrentSince Oct 28, 2019 Accepting new patients
Cabrini of Westchester Past Accepting new patients
Park Manor Acquisition II LLC Past Accepting new patients
Optima Care White Plains LLC Past Accepting new patients
Villa Frances at the Knolls Past Accepting new patients
HHH Acquisition LLC Past Accepting new patients

Locations

96 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 681-5066

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

4499 Manhattan College Pkwy
Bronx, NY 10471
Phone (718) 548-5100

5901 Palisade Ave
Bronx, NY 10471
Phone (718) 581-1000

2015 Grand Concourse
Ste B
Bronx, NY 10453

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

787 King St
Rye Brook, NY 10573
Phone (914) 600-7149

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1396907689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581000",
            "telephone_number": "718-618-0401",
            "fax_number": "718-795-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "address_2": "SUITE B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-618-0401",
            "fax_number": "718-795-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLFAGHARI",
        "first_name": "SOODABEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.