Active NPI
Ashkan Javadzadeh, MD
- Neurology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME176727
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-8855
- NPI assigned
- Apr 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35139 | WV | |
| Neurology Physician | 2084N0400X | 35.153918 | OH | |
| Neurology Physician | 2084N0400X | 85479-20 | WI | |
| Neurology Physician | 2084N0400X | A192787 | CA | |
| Neurology Physician | 2084N0400X | 2025054252 | MO | |
| Neurology Physician | 2084N0400X | ME176727 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME176727 | FL |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
475 Seaview Ave Dept of
Staten Island, NY 10305-3436
Phone (718) 226-8803
Other practice location 1
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Other practice location 2
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 208-2206
Other practice location 3
4201 Saint ANTOINE st
graduate medical education UHC 9C
Detroit, MI 48201-2153
Phone (313) 745-5147
Other practice location 4
2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157
Other practice location 5
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130085100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH, KY, NY, ND, FL, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730003481 | CA | Practitioner - Neurology | 1052733086 | Reassigns benefits to 6 organizations |
| I20250829001652 | OH | Practitioner - Neurology | 1052733086 | Reassigns benefits to 1 organization |
| I20251023004306 | KY | Practitioner - Neurology | 1052733086 | Reassigns benefits to 1 organization |
| I20251104002768 | NY | Practitioner - Neurology | 1052733086 | Reassigns benefits to 5 organizations |
| I20251110001354 | ND | Practitioner - Neurology | 1052733086 | Reassigns benefits to 1 organization |
| I20251113002203 | FL | Practitioner - Neurology | 1052733086 | Reassigns benefits to 2 organizations |
| I20260115000079 | NH | Practitioner - Neurology | 1052733086 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Good Samaritan Hospital Medical CenterVirtual Neurology Texas PLLCVirtual Neurology LLCAltru Health SystemSt. Joseph HospitalSt Catherine of Siena Medical Center
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000
1027 Wilshire Blvd
Apt 516
Los Angeles, CA 90017-3129
Phone (239) 208-2212
11215 Metro Pkwy
Suite 1
Fort Myers, FL 33966-1206
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
5249 Colodny Dr
Unit 8
Agoura Hills, CA 91301-2637
Phone (239) 208-2212
Hospital & facility affiliations
- Adventhealth Orlando
- Mease Countryside Hospital
- Christus St Vincent Regional Medical Center
- Morton Plant Hospital
- Christus St Michael Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A192787 | CA | MD | Neurology Physician |
| ME176727 | FL | MD | Neurology Physician |
| 35.153918 | OH | MD | Neurology Physician |
| 85479-20 | WI | MD | Neurology Physician |
| 35139 | WV | MD | Neurology Physician |
Practice roles (26 of 28)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center Inc. | Neurology | Current | Accepting new patients |
| Nchmd, Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Virtual Neurology Texas PLLC | Neurology | Current | Accepting new patients |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| St. Catherine of Siena Medical Center | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| St. Joseph Hospital | Current | Accepting new patients | |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| Telespecialists North Carolina Neurology Services PLLC | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- ajavadzadeh238600@santaclaravalley.direct-ci.net
Organizations & group practices 48
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
OH
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1437779170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE DEPT OF",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-8855"
}
],
"practiceLocations": [
{
"address_1": "11215 Metro Pkwy Ste 1",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661206",
"country_code": "US",
"telephone_number": "239-208-2212",
"fax_number": "239-208-3994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9981 S Healthpark Dr",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339083618",
"country_code": "US",
"telephone_number": "239-208-2206",
"fax_number": "239-935-3994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 Saint ANTOINE st",
"address_2": "graduate medical education UHC 9C",
"address_purpose": "LOCATION",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-5147",
"fax_number": "313-993-8501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2790 Clay Edwards Dr Ste 1235",
"address_purpose": "LOCATION",
"city": "North Kansas City",
"state": "MO",
"postal_code": "641163276",
"country_code": "US",
"telephone_number": "816-472-5157",
"fax_number": "816-472-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAVADZADEH",
"first_name": "ASHKAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WV",
"license": "35139",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.153918",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "85479-20",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A192787",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2025054252",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME176727",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME176727",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130085100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.