NPIMap

Individual provider Active NPI

Mahtab Motieian, MD

  • Internal Medicine Physician
  • New Rochelle, NY
National Provider Identifier
1417479692
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
307329 Issued in NY
Practice address
355 Pelham Rd
New Rochelle, NY 10805-2248
Phone
(516) 855-5255
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 307329 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

355 Pelham Rd
New Rochelle, NY 10805-2248

Mailing address

355 Pelham Rd
New Rochelle, NY 10805-2248
Phone (914) 365-5000

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
I20201221001795 NY Practitioner - Internal Medicine 8820338601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahtab Motieian MD PCGroup PAC ID 8426406778, 2 clinicians

Practice addresses (Care Compare)

60 Willow Dr
Willow Gardens Memory Care
New Rochelle, NY 10805-1256
Phone (914) 336-2338

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Emerest Home Health Care of Ny Home health agency, Bronx, NY, CCN 337456
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Calvary Home Health Agency and Hospice Care Hospice, Bronx, NY, CCN 331562
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030
  • United Hebrew Geriatric Center Nursing home, New Rochelle, NY, CCN 335621
  • Regeis Care Center Nursing home, Bronx, NY, CCN 335019
  • Schaffer Extended Care Center Nursing home, New Rochelle, NY, CCN 335337
  • Glen Island Center for Nursing and Rehabilitation Nursing home, New Rochelle, NY, CCN 335611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307329NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Home for Aged Hebrews Past Accepting new patients
Regeis Care Center Past Accepting new patients
Schaffer Extended Care Center Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1417479692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PELHAM RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052248",
            "telephone_number": "914-365-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PELHAM RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052248",
            "telephone_number": "516-855-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTIEIAN",
        "first_name": "MAHTAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "307329",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.