Organization Active NPI

Peyman Zandieh, MD PC

  • Obstetrics & Gynecology Physician
  • Bethpage, NY
National Provider Identifier
1437154747
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
198779 Issued in NY
Legal business name
PEYMAN ZANDIEH, MD PC
Practice address
4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714-5700
Phone
(516) 735-7900
Fax
(516) 735-8425
NPI assigned
Jun 15, 2005
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Peyman S ZandiehNPI 1619153772
Title
President
Phone
(516) 735-7900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 198779 NY Primary

Addresses

Primary practice location

4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714-5700

Mailing address

4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714-5700
Phone (516) 735-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000887 NY Part B Supplier - Clinic/Group Practice 0345429692 Receives reassigned benefits from 3 practitioners
Practice locations: Bethpage, NY; Manhasset, NY; Mineola, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0992142Peyman Zandieh MD4230 Hempstead Tpke Suite 208, Bethpage, NY 11714Provider-performed microscopyOct 9, 2027

National Provider Directory

National Provider Directory

Locations

4230 Hempstead Tpke
Ste 208
Bethpage, NY 11714
Phone (516) 735-5323

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1437154747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE",
            "address_2": "STE 208",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-735-7900",
            "fax_number": "516-735-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE",
            "address_2": "STE 208",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-735-7900",
            "fax_number": "516-735-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYMAN ZANDIEH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "ZANDIEH",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-735-7900"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "198779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.