Individual provider Active NPI

Ashkan Javadzadeh, MD

  • Neurology Physician
  • Staten Island, NY
National Provider Identifier
1437779170
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME176727 Issued in FL
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

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130085100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, KY, NY, ND, FL, NH7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
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 - NeurologyPractitioner - Hospitalist 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 CenterGroup PAC ID 5294639951, 152 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
St Catherine of Siena Medical CenterGroup PAC ID 0941267876, 95 clinicians

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 Hospital, Orlando, FL, CCN 100007
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A192787CAMDNeurology Physician
ME176727FLMDNeurology Physician
35.153918OHMDNeurology Physician
85479-20WIMDNeurology Physician
35139WVMDNeurology Physician

Practice roles (26 of 28)

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Jan 1, 2026 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Nov 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jan 1, 2026 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Aug 18, 2025 Accepting new patients
St Charles Hospital Corp CurrentSince Oct 28, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 12, 2025 Accepting new patients
Altru Health System CurrentSince Oct 23, 2025 Accepting new patients
Nchmd Inc Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Aug 10, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 27, 2026 Accepting new patients
Mercy Medical Center CurrentSince Oct 28, 2025 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Oct 12, 2025 Accepting new patients
Nchmd, Inc CurrentSince Nov 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 27, 2026 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Nov 18, 2025 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Oct 28, 2025 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 28, 2025 Accepting new patients
Altru Health System CurrentSince Oct 23, 2025 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St. Joseph Hospital CurrentSince Oct 28, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Jan 1, 2026 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Sep 20, 2025 Accepting new patients
Baptist Health Medical Group Inc Neurology CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

View all 48

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.